Active NPI
Michelle Wilson, DPT
- Physical Therapist
- Fredericksburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, SC, WA
Enrollment records 3
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
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 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 75.04
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Greenville Proaxis Therapy LLC | Current | Accepting new patients | |
| Greenville Proaxis Therapy, LLC | Physical Therapist | Current | 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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Physical Therapist
- Greenville, SC
- NPI 1669457859
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1750833844
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
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.