Matthew D Wilcox, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14-01222 Issued in KS

Practice address

2243 S Meridian Ave
Ste 105
Wichita, KS 67213-1949

Phone

(316) 942-5448

Fax

(316) 945-5694

NPI assigned

Aug 16, 2010

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1497060388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE",
            "address_2": "STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023013",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 S MERIDIAN AVE",
            "address_2": "STE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672131949",
            "telephone_number": "316-942-5448",
            "fax_number": "316-945-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-16",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "14-01222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R Eilleen Decena Wilbert, D.C.
• Alexis D Wilburn, LMSW
• Wilcox Advanced Physical Therapy, LLC
• Caleb M Wilcox, PTA
• Joshua Wilcox, DPT
• Megan Wilcox, DO
• Patricia Ann Wilcox
• Wildflower & Stone Therapy, LLC
• Lauren Wilding, MD
• Kathy Wiley

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.