Emily Nicolson Wilkes, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH4107 Issued in AL

Practice address

3105 Independence Dr
Suite 105
Birmingham, AL 35209-4111

Phone

(205) 278-6642

NPI assigned

Oct 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Performance Group Albertville

  • Physical Therapist
  • Albertville, AL
  • NPI 1669481222
  NPD (past)
• Performance Group Cullman, LLC

  • Physical Therapist
  • Cullman, AL
  • NPI 1588673131
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255411575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR",
            "address_2": "SUITE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-278-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 INDEPENDENCE DR",
            "address_2": "SUITE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094111",
            "telephone_number": "205-278-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "EMILY",
        "middle_name": "NICOLSON",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PTH4107",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delacey Raine Wilkerson
• Hayden Elizabeth Wilkerson
• Hunter Ross Wilkerson, MD
• Kimberly Ann Wilkerson, PHARMACIST
• Krystal Rebecca Wilkerson, M.S., R.D.
• Susan Brittany Wilkes, A.T.C., L.A.T.
• Wesley Wilkes, LPC
• Allison Wilkin
• Elaina Wilkinson
• Linda N Wilkinson, CNP

• Physical Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapist in Alabama

• 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.