Michelle J Wilson, RPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

18232 Issued in MD

Practice address

190 Admiral Cochrane Dr
Suite 180
Annapolis, MD 21401-7365

Phone

(410) 571-6411

Fax

(410) 571-6415

NPI assigned

Dec 12, 2007

Sex

Female

Sole proprietor

No

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 DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services LLCGroup PAC ID 1355347410, 304 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755

  DC

  Medicare reassignment Care Compare group NPD
• Fox Rehab PT MD LLC

  • Physical Therapist
  • Timonium, MD
  • NPI 1588901847
  Medicare reassignment NPD
• Sky Neurological Rehabilitation LLC

  dba SKY Neurological Rehabilitation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Annapolis, MD
  • NPI 1912952888
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1124201272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207250891",
            "telephone_number": "410-571-6411",
            "fax_number": "410-571-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 ADMIRAL COCHRANE DR",
            "address_2": "SUITE 180",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017365",
            "telephone_number": "410-571-6411",
            "fax_number": "410-571-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHELLE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "18232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dewaynia Wilson, DAC
• Eleanor Wilson
• Jennifer Jane Wilson, LCPC
• Jonathan K Wilson, PA-C
• Margaret Banks Wilson, FNP-C
• Sue Ellen Wilson, OTR/L
• Hailee Winand
• Rebecca N Winans
• Kelly Winders
• Brett Windish, IDC

• Specialist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.