Individual provider Active NPI

Michelle Wilson, DPT

  • Physical Therapist
  • Fredericksburg, TX
National Provider Identifier
1497432751
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1306 N Milam St
Fredericksburg, TX 78624-2741
Phone
(541) 410-7947
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X SC
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1306 N Milam St
Fredericksburg, TX 78624-2741

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

2400 N Pleasantburg Dr Ste D
Greenville, SC 29609-2706
Phone (864) 535-5002

Other practice location 2

711 W 40th St Ste 170
Baltimore, MD 21211-2147
Phone (667) 600-4560

Other practice location 3

4901 S Ammons St
Littleton, CO 80123-1348
Phone (541) 410-7947

Other practice location 4

913 11th St SE
Bandon, OR 97411-9168
Phone (541) 347-4314

Other names 1

  • Michelle Young Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, SC, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230713002464 MD Practitioner - Physical Therapist in Private Practice 9133589807 Reassigns benefits to 2 organizations
I20240304000012 SC Practitioner - Physical Therapist in Private Practice 9133589807 Reassigns benefits to 1 organization
I20250225002715 WA Practitioner - Physical Therapist in Private Practice 9133589807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

8011 112TH St CT E
Puyallup, WA 98373-7814
Phone (253) 848-0662

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Feb 13, 2025 Accepting new patients
Multicare Health System CurrentSince Feb 13, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Jan 29, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jan 29, 2024 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

711 W 40th St
Ste 170
Baltimore, MD 21211
Phone (667) 600-4560

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

2400 N Pleasantburg Dr
Ste D
Greenville, SC 29609
Phone (864) 268-9040

315 Medical Pkwy
Ste 150
Greer, SC 29650
Phone (864) 695-1418

36 S Main St
Ste B
Travelers Rest, SC 29690
Phone (864) 660-8200

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

8011 112th Street Ct E
Puyallup, WA 98373
Phone (253) 848-0662

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1497432751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 N MILAM ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786242741",
            "telephone_number": "541-410-7947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 N Pleasantburg Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296092706",
            "country_code": "US",
            "telephone_number": "864-535-5002",
            "fax_number": "864-535-5003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 W 40th St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212112147",
            "country_code": "US",
            "telephone_number": "667-600-4560",
            "fax_number": "667-228-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4901 S Ammons St",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801231348",
            "country_code": "US",
            "telephone_number": "541-410-7947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "913 11th St SE",
            "address_purpose": "LOCATION",
            "city": "Bandon",
            "state": "OR",
            "postal_code": "974119168",
            "country_code": "US",
            "telephone_number": "541-347-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "YOUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.