CMS-1500 Box 24J / 33a • NPI
1235679739
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225200000X
Licensed & Credentialed Physical Therapy Assistant
Box 32 Service Location & ZIP+4
626 N TYNDALL PKWY, CALLAWAY, FL, 32404-6132
✓ 9-Digit EDI 837 ZIP+4 (32404-6132)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1235679739 (COREY WIGGINTON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1235679739 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | COREY WIGGINTON |
| Plain-English Specialty | Licensed & Credentialed Physical Therapy Assistant NUCC Code: 225200000X (Physical Therapy Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 626 N TYNDALL PKWY, CALLAWAY, FL, 32404-6132 |
| Practice Telephone / Fax | Tel: (850) 871-6363 |
| Administrative Mailing Address | 260 N MARY ELLA AVE, PANAMA CITY, FL, 32404-7612 |
| Enumeration & Last Sync | Enumerated: 2017-03-02 | CMS Record Updated: 2017-03-02 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225200000X)
What Does Taxonomy Code 225200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225200000X translates to:
"Licensed & Credentialed Physical Therapy Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (COREY WIGGINTON)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225200000X — Physical Therapy AssistantPlain English: Licensed & Credentialed Physical Therapy Assistant | State: FL | License: 26736 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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