Christian G Wilkinson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32916 Issued in FL

Practice address

4311 Norfolk Pkwy Ste 116
Melbourne, FL 32904-8617

Phone

(321) 802-5816

Fax

(321) 802-5811

NPI assigned

Oct 12, 2018

Sex

Male

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

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.

• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Bakersfield, CA
  • NPI 1104859230

  Physical Therapist

  NPD

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1487129797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011936",
            "telephone_number": "321-725-7225",
            "fax_number": "321-802-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 NORFOLK PKWY STE 116",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048617",
            "telephone_number": "321-802-5816",
            "fax_number": "321-802-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "CHRISTIAN",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-12",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Gail Wilhelm, LPTA
• Marisol Wilke
• Ashlee Danielle Wilkenson
• Edward T Wilkins, CRNA
• Lorena Nora Wilkins, DDS
• Angelica Elaine Willett, COTA
• Christine Natasha Williams Kelly, MA
• Tasscia M Williams Souffrant, MD
• Bridgett Evette Williams-Cooper, ARNP
• Shana Williams-Leary, LCSW

• Physical Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.