Wilson Orthopedic and Sports PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WILSON ORTHOPEDIC AND SPORTS PT

Practice address

476 Fortman Dr
Saint Marys, OH 45885-1870

Phone

(419) 300-8400

Fax

(419) 300-8401

NPI assigned

Mar 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholas D Wilson, PT

Title

PT/Owner

Phone

(419) 300-8400

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1003088667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 FORTMAN DR",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458851870",
            "telephone_number": "419-300-8400",
            "fax_number": "419-300-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 FORTMAN DR",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458851870",
            "telephone_number": "419-300-8400",
            "fax_number": "419-300-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON ORTHOPEDIC AND SPORTS PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "419-300-8400",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Ohio X-Ray
• Melissa Jane Weston, DPT
• Wheatland Dermatology LLC
• Dane B Widner, DDS
• Kimberly Wiener, NP-C
• Michelle Wilson, SLP
• Nicholas D Wilson, PT
• Clarinda Yvette Wine
• Douglas J Wine, OD
• Jalyn Yvette Wine, STNA

• Physical Therapy Clinic/Center in Saint Marys, OH
• Providers in Saint Marys, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.