Kyle Mason Wilkie, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1362180 Issued in TX

Practice address

12550 South Fwy Ste 106
Burleson, TX 76028-8438

Phone

(817) 426-4401

Fax

(817) 426-4410

NPI assigned

Dec 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Crossroads Physical Therapy Limited Partnership

  • Physical Therapist
  • Dallas, TX
  • NPI 1558306399
  Medicare reassignment NPD
• Crossroads Physical Therapy Limited Partnership

  • Physical Therapist
  • Burleson, TX
  • NPI 1083923916
  NPD

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1376202770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MISSLER DR",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081813",
            "telephone_number": "916-380-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 SOUTH FWY STE 106",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288438",
            "telephone_number": "817-426-4401",
            "fax_number": "817-426-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41125 N Daisy Mountain Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850864964",
            "country_code": "US",
            "telephone_number": "623-551-9706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKIE",
        "first_name": "KYLE",
        "middle_name": "MASON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-13",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "32106",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1362180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• When Kids Play LLC
• Elizabeth J White, RNFA
• Kaila White
• Adam Whitmire
• Whittany Wimberly
• William Co Op
• Jackquelyn Denise Williams, NP
• Jay Williams
• Larry Williams, PHARMACIST
• Maria Ernestina Williams, PTA

• Physical Therapist in Burleson, TX
• Providers in Burleson, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.