Mary M Wilkins, PT,DPT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

1290916 Issued in TX

Practice address

711 W 38TH St Ste B3
Austin, TX 78705-1125

Phone

(512) 450-0909

NPI assigned

May 22, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1437686300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST STE B3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST STE B3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051125",
            "telephone_number": "512-450-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "1290916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Thomas Wilkerson
• Katy Nicole Wilkerson, LCSW
• Kaila Wilkie, M.S.
• Charles Edward Wilkins III, DDS
• Crystal Nicole Wilkins
• Steven A Wilkins, DO
• Thomas Robert Wilkins, O.D.
• Rebecca Wilkinson-Smith, M.A. CCC-SLP
• Glen Jeffrey Wilkinson
• Katelyn Wilkinson, LCSW

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Austin, TX
• Providers in Austin, TX by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.