Amy Carole Wilson, PTA
Individual provider Active NPI Physical Therapy Assistant · Dewitt, AR
NPI 1275745010 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275745010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA1463 (AR)
- Practice address
- 601 S Union St
Dewitt, AR 72042-2727 - Phone
- (870) 946-1606
- Fax
- (870) 946-2937
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA1463 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Therapy Services, Inc. | Physical Therapy Assistant | Past | Accepting new patients |
| Pattillo Center-School, Incorporated | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA1463 | AR | Yes |
Addresses
Primary practice location
601 S Union St
Dewitt, AR 72042-2727
Mailing address
1310 S Roy St
Dewitt, AR 72042-2992
Phone (870) 946-3497
Other providers in Dewitt, AR
- Randall S Hestir DDS Inc
- State of Arkansas
- Tommys Rexall Drug Company Inc.
- Holly Chambless Vansandt
- Wilson Therapy Services, Inc.
All providers in Dewitt, AR · Physical Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.