Wilder Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WILDER PHYSICAL THERAPY, INC.

Practice address

917 Lily Creek Rd
Louisville, KY 40243-2808

Phone

(502) 777-2964

NPI assigned

Mar 20, 2023

Last updated

Mar 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Wilder, DPTNPI 1639113376

Title

Owner/Provider

Phone

(502) 777-2965

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Wilder, PT

  • Physical Therapist
  • Louisville, KY
  • NPI 1639113376
  NPD (past) Authorized official

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1578265161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 LILY CREEK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 LILY CREEK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432808",
            "telephone_number": "502-777-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDER PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-19",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "502-777-2965",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo E Wilburn, CRNA
• Sarah Elizabeth Wilburn, LCSW
• Cherie Finley Wilcher, FNP
• Olivia Wildeman, OTR/L
• Riley Patrick Wildemann, PHARMD, BCCP
• Michelle Wilder, PT
• Sara Caitlin Wilder
• Sarah Wilson Wilder, PA-C
• Jonathan W Wilding, M.D.
• Nancy L Wilding, APRN

• Physical Therapy Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapy Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.