Christopher L Wilds, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017190 Issued in PA

Practice address

1068 W Baltimore Pike
Lobby Level
Media, PA 19063-5104

Phone

(610) 891-3030

Fax

(610) 891-3035

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033120183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 W BALTIMORE PIKE",
            "address_2": "LOBBY LEVEL",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635104",
            "telephone_number": "610-891-3030",
            "fax_number": "610-891-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 W BALTIMORE PIKE",
            "address_2": "LOBBY LEVEL",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635104",
            "telephone_number": "610-891-3030",
            "fax_number": "610-891-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDS",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PABLUE SHEILD",
            "identifier": "WI1748119",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly White
• Frank J. White, M.D.
• Margaret Mary White, LCSW
• Michela Nichole White, CNM
• Taylor Whitehead
• Juliet Ann Wilkers, RD, LDN
• Denise Wilks, CNM
• Burton J Williams, MD
• Kristen Ann Williams, M.S., O.T.R.I.L.
• Lauren Williams

• Physical Therapist in Media, PA
• Providers in Media, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.