Michael Wilkins Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP025674T Issued in OR

Practice address

2645 N 17TH St
Coos Bay, OR 97420-2134

Phone

(541) 266-3658

Fax

(541) 267-5395

NPI assigned

Jun 21, 2023

Last updated

Oct 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  dba Saco Bay Orthopaedic Sports & Physical Therapy

  • Physical Therapy Clinic/Center
  • Westbrook, ME
  • NPI 1396312807
  NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  dba Saco Bay Orthopaedic Sports & Physical Therapy

  • Physical Therapy Clinic/Center
  • New London, NH
  • NPI 1548837065

  Physical Therapist

  NPD
• Saco Bay Orthopaedic and Sports Physical Therapy, Inc.

  dba Saco Bay Orthopaedic Sports & Physical Therapy

  • Physical Therapy Clinic/Center
  • Glen, NH
  • NPI 1801467717
  NPD

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1043995525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 N 17TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202134",
            "telephone_number": "541-266-3658",
            "fax_number": "541-267-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N 17TH ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202134",
            "telephone_number": "541-266-3658",
            "fax_number": "541-267-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "5160",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "CP025674T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack White, CRM , THW
• Sarah Elise White, DO
• Alan L Whitney, MD
• Stephanie Claire Whitten
• Karen Renee Wilhite, MSW
• Erica Wilkinson
• Bianca Williams, QMHA, PWS
• Stacy Williams
• Taylor Terrell Williams, MSW
• Mary E. Williard, DDS

• Physical Therapist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.