Active NPI
Amber Dawn Wilson, MSPT, DPT
- Physical Therapist
- Murray, KY
National Provider Identifier
1407074644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-004829
- Practice address
- 2109 Southwest Dr
Murray, KY 42071-9073 - Phone
- (828) 333-2233
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-004829 | KY | Primary |
Addresses
Primary practice location
2109 Southwest Dr
Murray, KY 42071-9073
Mailing address
2109 Southwest Dr
Murray, KY 42071
Phone (828) 333-2233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-004829 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499990400000",
"number": "1407074644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 SOUTHWEST DR",
"city": "MURRAY",
"state": "KY",
"postal_code": "42071",
"telephone_number": "828-333-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 SOUTHWEST DR",
"city": "MURRAY",
"state": "KY",
"postal_code": "420719073",
"telephone_number": "828-333-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "AMBER",
"middle_name": "DAWN",
"credential": "MSPT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2017-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "PT-004829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.