Individual provider Active NPI

William Wilcox

  • Physical Therapist
  • West Chester, PA
National Provider Identifier
1225698376
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028062 Issued in PA
Practice address
1161 McDermott Dr
West Chester, PA 19380-4064
Phone
(484) 356-9401
NPI assigned
Jun 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TPT023291 PA
Physical Therapist 225100000X PT028062 PA Primary

Addresses

Primary practice location

1161 McDermott Dr
West Chester, PA 19380-4064

Mailing address

PO Box 34990
Belfast, ME 04915-0627
Phone (610) 359-5672

Other practice location 1

163 Pottstown Pike
Chester Springs, PA 19425-9518
Phone (610) 458-6464

Other practice location 2

163 Pottstown Pike
Chester Springs, PA 19425-9518
Phone (610) 458-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190912003228 PA Practitioner - Physical Therapist in Private Practice 1850620014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedic and Sports Medicine Associates, LTDGroup PAC ID 5890681092, 218 clinicians

Practice addresses (Care Compare)

1161 McDermott Dr
Suite 250
West Chester, PA 19380-4064
Phone (484) 356-9401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT028062PAMDPhysical Therapist
TPT023291PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Physical Therapy, LLC Physical Therapist CurrentSince Aug 2, 2019 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

163 Pottstown Pike
Chester Springs, PA 19425
Phone (610) 458-6464

1161 McDermott Dr
Ste 250
West Chester, PA 19380
Phone (484) 356-9401

1161 McDermott Dr
West Chester, PA 19380
Phone (484) 356-9401

Interoperability endpoints

  • Direct secure messaging: william.wilcox.1@22724.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1225698376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34990",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150627",
            "telephone_number": "610-359-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 MCDERMOTT DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804064",
            "telephone_number": "484-356-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Pottstown Pike",
            "address_purpose": "LOCATION",
            "city": "Chester Springs",
            "state": "PA",
            "postal_code": "194259518",
            "country_code": "US",
            "telephone_number": "610-458-6464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "163 Pottstown Pike",
            "address_purpose": "LOCATION",
            "city": "Chester Springs",
            "state": "PA",
            "postal_code": "194259518",
            "country_code": "US",
            "telephone_number": "610-458-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "TPT023291",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.