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

Mr. John William Wickenburg, PT

Individual provider Case Manager/Care Coordinator · NPI 1750432597

Mr. John William Wickenburg, PT is a Case Manager/Care Coordinator in Santa Rosa, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

401 Bicentennial Way
Santa Rosa, CA 95403-2149
Phone: (707) 571-4633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 17669 (CA)

Record details

NPI number1750432597
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJuly 8, 2007

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