Wilson Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WILSON PHYSICAL THERAPY LLC

Practice address

1228 Kirkwood Rd
Humeston, IA 50123-8041

Phone

(712) 520-0041

NPI assigned

Mar 1, 2023

Last updated

Mar 1, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alyssa Wilson, PTNPI 1154020295

Title

PT/Owner

Phone

(712) 520-0041

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alyssa Wilson, PT

  • Physical Therapist
  • Humeston, IA
  • NPI 1154020295
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1295434157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 KIRKWOOD RD",
            "city": "HUMESTON",
            "state": "IA",
            "postal_code": "501238041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 KIRKWOOD RD",
            "city": "HUMESTON",
            "state": "IA",
            "postal_code": "501238041",
            "telephone_number": "712-520-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "712-520-0041",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas County Health Center (Humeston Medical Clinic)
• Mormon Trail C.S.D.
• Wayne County Hospital (Humeston Family Medical Clinic)
• Alyssa Wilson, PT

• Physical Therapy Clinic/Center in Humeston, IA
• Providers in Humeston, IA by specialty
• Physical Therapy Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.