Jeffrey David Wilson, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21563 Issued in CA

Practice address

4080 Loma Vista Rd
Suite H
Ventura, CA 93003-1811

Phone

(805) 535-4400

Fax

(805) 535-4401

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body Works Physical Therapy IncGroup PAC ID 1052629698, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.99 of 100Reported as individual

Quality

80

Improvement activities

40

Cost

76.63

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 and National Provider Directory roles.

• Body Works Physical Therapy, Inc

  • Physical Medicine & Rehabilitation Physician
  • Ventura, CA
  • NPI 1083090252
  Medicare reassignment Care Compare group NPD
• Sunrise Physical Therapy Services, Inc

  • Orthopedic Physical Therapist
  • Oxnard, CA
  • NPI 1275553034
  NPD (past)
• Sunrise Physical Medicine and Wellness Center, Inc.

  • Chiropractor
  • Sunrise, FL
  • NPI 1043323298
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1063464832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 AGNUS DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031001",
            "telephone_number": "805-535-4400",
            "fax_number": "805-535-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 LOMA VISTA RD",
            "address_2": "SUITE H",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031811",
            "telephone_number": "805-535-4400",
            "fax_number": "805-535-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Williamson
• Matthew Williamson
• Devena Wilson-Taylor
• Christian Wilson, O.D.
• Edward Wilson, DO
• Jennifer Lynn Wilson
• Jeremy Wilson, PHD, BCBA-D
• Larin Wilson, M.A., CCC-SLP
• Lindsey Wilson, BCBA
• Milytza Estefania Wilson

• Physical Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.