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

Peter Wibisono, PT

Individual provider Physical Therapist · NPI 1366654469

Peter Wibisono, PT is a Physical Therapist in Woodland Hills, 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

5601 De Soto Ave
Woodland Hills, CA 91367-6701
Phone: (818) 719-2773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 26160 (CA)

Record details

NPI number1366654469
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022

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