Jamie Wilson III, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA9303 Issued in FL

Practice address

4300 52ND Ave S
Saint Petersburg, FL 33711-4694

Phone

(727) 488-8944

NPI assigned

Aug 27, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Motion Therapy Inc.

  • Physical Therapist
  • St Petersburg, FL
  • NPI 1467467944
  NPD (past) Authorized official

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472256000000",
    "number": "1255887568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 52ND AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337114694",
            "telephone_number": "727-488-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 52ND AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337114694",
            "telephone_number": "727-488-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAMIE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA9303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Louise Wilson, PHARM D
• Christopher H Wilson, D.O.
• Darius Wilson Sr., CBHT
• Elizabeth Wilson, DOM, RD
• Jamie Wilson IV, APRN
• Latoya Janelle Wilson, APRN, FNP-C
• Lindsay Edward Wilson, PHD
• Maureen P Wilson
• Nicole Christine Wilson
• Patricia Ann Wilson, P.A.

• Physical Therapy Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; 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.