Kristie Mae Wilson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501009262 Issued in MI

Practice address

4405 S Baldwin Rd
Ste E
Lake Orion, MI 48359-2164

Phone

(248) 390-6422

NPI assigned

Apr 8, 2008

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Lake Orion Center for Pelvic Rehabilitation

  • Physical Therapist
  • Lake Orion, MI
  • NPI 1942817853
  Medicare reassignment NPD Authorized official
• Kulsum Pelvic Rehab Services

  • Physical Therapist
  • Lake Orion, MI
  • NPI 1528895364
  NPD
• KKS of Michigan LLC

  • Physical Therapy Clinic/Center
  • Orion, MI
  • NPI 1225233273
  NPD (past)
• Rochester Hills Orthopaedics, P.C

  • Physical Medicine & Rehabilitation Physician
  • Rochester, MI
  • NPI 1992756399
  NPD (past)
• Rochester Hills Orthopaedics, PC

  • Orthopaedic Surgery Physician
  • Rochester, MI
  • NPI 1508833625
  NPD (past)
• Women'S Healthcare Associates of Oakland PLLC

  • Medical Specialty Clinic/Center
  • Lake Orion, MI
  • NPI 1568653780
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1376716639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 S BALDWIN RD",
            "address_2": "STE E",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483592164",
            "telephone_number": "248-390-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 S BALDWIN RD",
            "address_2": "STE E",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483592164",
            "telephone_number": "248-390-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KRISTIE",
        "middle_name": "MAE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nichole Wilkins, PT, DPT
• Brendan Charles-Mulligan Wille, PA-C
• Bridget Beth-Obrien Wille, PA-C
• Tameca Renee Williams
• Willows Edge LLC
• Nicole Winn
• Hannah Rose Winstanley, LLMSW
• Peter Wolf
• Women'S Healthcare Associates of Oakland PLLC
• Daniella Wood

• Physical Therapist in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.