Kristen Elizabeth Wilson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016638 Issued in PA

Practice address

1786 Wilmington Pike
Suite 100a
Glen Mills, PA 19342-8122

Phone

(484) 841-6154

NPI assigned

Aug 1, 2011

Sex

Female

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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Potential LLCGroup PAC ID 1850605312, 18 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.

• Action Potential, LLC

  • Physical Therapy Clinic/Center
  • Glen Mills, PA
  • NPI 1831478692
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1346528817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 WILMINGTON PIKE",
            "address_2": "SUITE 100A",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428122",
            "telephone_number": "484-841-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 WILMINGTON PIKE",
            "address_2": "SUITE 100A",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428122",
            "telephone_number": "484-841-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "016638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Wiley, MD
• Wilkins Chiropractic
• Wilkins Family Chiropractic LLC
• Kevin Wayne Wilkins, DC
• Rachel Williams
• William Wimble IV
• Brian Winkler
• Michael R Wisser, DO
• Cathy A Wood
• Sin Kei Yeung, M.D.

• Physical Therapist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.