Mary Lynn Wilson, P.T.
Individual provider Active NPI Physical Therapist · Middleburg, VA
NPI 1285709642 · NPPES record last updated Oct 14, 2010
Key facts
- NPI
- 1285709642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305004796 (VA)
- Practice address
- 204 E Federal St.
Suite C
Middleburg, VA 20117 - Phone
- (540) 687-6565
- Fax
- (540) 687-6585
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Del Wilson Physical Therapy Inc
Practice addresses (Care Compare)
204 E Federal St
Middleburg, VA 20117
Phone (540) 687-6565
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040102000326 | VA | Practitioner - Physical Therapist in Private Practice | 1759287394 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Del Wilson Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305004796 | VA | Yes |
Addresses
Primary practice location
204 E Federal St.
Suite C
Middleburg, VA 20117
Mailing address
PO Box 893
Middleburg, VA 20118-0893
Phone (540) 687-6565
Other providers in Middleburg, VA
- The Jackson Clinics LP
- Three Branches Therapy, LLC
- TJC Concierge LLC
- True North Psychological Services, LLC
- Louis D. Wilson
- Cristin Wipfler
- William B Wolf III
- Katherine E. Yeutter
All providers in Middleburg, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.