Ronald Keith Wilson, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2969 Issued in FL

Practice address

1060 6TH Ave
Vero Beach, FL 32960-5922

Phone

(772) 299-3383

Fax

(772) 299-3367

NPI assigned

Apr 17, 2007

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Perelman School of Med at the University of Pennsylvania, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthworks Physical Therapy, Inc.Group PAC ID 6800053026, 2 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.

• Healthworks Physical Therapy, Inc.

  • Physical Therapist
  • Vero Beach, FL
  • NPI 1699045062
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265658652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 6TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605922",
            "telephone_number": "772-299-3383",
            "fax_number": "772-299-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 6TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605922",
            "telephone_number": "772-299-3383",
            "fax_number": "772-299-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RONALD",
        "middle_name": "KEITH",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Wilsey
• Brandi D Wilson, MD
• Christopher M Wilson
• David Neil Wilson, DDS
• Dorcia E. Wilson, PMHNP
• Martha Elizabeth Wingard, PA-C
• Jill E. Winland-Brown, ARNP
• Jasmine Winn
• Charlotte Elizabeth Winstead, NURSE PRACTITIONER
• Angela Joy Wipf, MD

• Physical Therapist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapist in Florida

• 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.
• 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.