Havyn Alissa Wilson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

131080 Issued in IA

Practice address

406 S 10TH Ave E
Lake Mills, IA 50450-1851

Phone

(641) 592-4900

NPI assigned

Jul 31, 2025

Sex

Female

Sole proprietor

No

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 IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Molencamp Physical Therapy and WellnessGroup PAC ID 4981010832, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Molencamp Physical Therapy and Wellness

  • Physical Therapist
  • Clear Lake, IA
  • NPI 1528667029
  Medicare reassignment Care Compare group NPD
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Family and Sports Medicine

  • Sports Medicine (Family Medicine) Physician
  • Mason City, IA
  • NPI 1982300349
  NPD (past)

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1407739899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 S CENTRAL ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504362015",
            "telephone_number": "660-537-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S 10TH AVE E",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504501851",
            "telephone_number": "641-592-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HAVYN",
        "middle_name": "ALISSA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "131080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Iowa Mercy Clinics (Mercy Family Clinic-Lake Mills)
• North Iowa Wellness Clinic
• Redinger Pharmacy, LLC (Redinger Drug)
• Aaron Redinger, RPH
• The Community Wellness Center LLC (The Community Wellness Center)
• Josh Zabel, ATC

• Physical Therapist in Lake Mills, IA
• Providers in Lake Mills, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.