Brandy Wilson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305203967 Issued in VA

Practice address

3300 Rivermont Ave
Lynchburg, VA 24503-2030

Phone

(434) 200-4668

Fax

(434) 200-3003

NPI assigned

Aug 5, 2006

Last updated

Dec 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centra Outpatient Rehabilitation Services LLCGroup PAC ID 4789909987, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.64 of 100Reported as group

Quality

87.16

Improvement activities

40

Cost

79.01

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centra Outpatient Rehabilitation Services LLC

  • Physical Therapist
  • Lynchburg, VA
  • NPI 1871998120
  Medicare reassignment Care Compare group NPD
• Rehabilitation Associates of Central Virginia, Inc.

  dba Rehab Associates of Central Virginia

  • Physical Therapist
  • Lynchburg, VA
  • NPI 1699727016
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451174400000",
    "number": "1548279987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CLIFTON ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011422",
            "telephone_number": "434-528-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RIVERMONT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032030",
            "telephone_number": "434-200-4668",
            "fax_number": "434-200-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRANDY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010118646",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010118751",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Parsons Willis, PHARMD
• Heather Kristen Willoughby
• James Fount Willson, DO
• Monica Willson, D.O.
• Brandy Rose-Charlene Wilson-Odom, PA-C
• Courtney Sublett Wilson, MS
• Elizabeth Wilson, LPC
• Emma Wilson
• Jacqui R Wilson, LPTA
• Jeffrey W Wilson, MD, MBA

• Physical Therapist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2015; 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.