Wilson Wellness

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

WILSON WELLNESS

Practice address

1 Community St
Wheeling, WV 26003-5201

Phone

(304) 242-3933

Fax

(304) 242-3833

NPI assigned

Jun 12, 2019

Organization subpart

No

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

Authorized official

Name

Kathy Ellen Wilson

Title

Ceo

Phone

(304) 312-7740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1477112571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMUNITY ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035201",
            "telephone_number": "304-242-3933",
            "fax_number": "304-242-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMUNITY ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035201",
            "telephone_number": "304-242-3933",
            "fax_number": "304-242-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-312-7740"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lynne Williams, CASE MANAGER
• Collene Williamson
• Denise Williamson
• Elizabeth L Williamson, M.S.CCC-SLP
• Paula Willis
• Amy Wilson
• Carl Wilson
• Daniel Wayne Wilson, M.D.
• Krystal L. Wilson, DPT
• Michael E Wilson, DO

• Physical Medicine & Rehabilitation Physician in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Physical Medicine & Rehabilitation Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.