Maria Ogden Wilt, MS,PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501002115 Issued in MI

Practice address

304 W Wackerly St Ste 500
Midland, MI 48640-7264

Phone

(989) 832-4220

Fax

(989) 832-4227

NPI assigned

Apr 2, 2018

Sex

Female

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1497251300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W WACKERLY ST STE 500",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407264",
            "telephone_number": "989-832-4220",
            "fax_number": "989-832-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W WACKERLY ST STE 500",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407264",
            "telephone_number": "989-832-4220",
            "fax_number": "989-832-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILT",
        "first_name": "MARIA",
        "middle_name": "OGDEN",
        "name_prefix": "Ms.",
        "credential": "MS,PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501002115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrina Deanne Wilson
• Courtney Wilson, MSTOM R.AC.
• Laura Wilson
• Nicole Wilson
• Roberta Wilson
• Jannis Wiltse
• Rachel Wiltse, OTR/L
• Windgate Chiropractic, PC
• Julie Windham, CCC-SLP
• Carleton D Winegar, M.D.

• Orthopedic Physical Therapist in Midland, MI
• Providers in Midland, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.