Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kallie A Wikman, DPT

Individual provider Physical Therapist · NPI 1083109755

Kallie A Wikman, DPT is a Physical Therapist in Private Practice in Vancouver, Washington. Qualified in 2017, 9 years ago. Practices with New Proactive LLC, a 53-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
9
Licensed in
CA, WA
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 E 33rd St Ste 204
Vancouver, WA 98663
Phone: (360) 823-0138
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3142 Vista Way Ste 101, Oceanside, CA 92056-3627 — (760) 630-2258
  • 3142 Vista Way Ste 101, Oceanside, CA 92056-3627 — (760) 630-2258

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT60989646 (WA)
Physical Therapist Taxonomy 225100000X · Licence PT294922 (CA)

Record details

NPI number1083109755
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESSeptember 26, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice New Proactive Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vancouver