Dwight E Wilson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

FLPT0006232 Issued in FL

Practice address

1989 SE Federal Hwy
Suite 203
Stuart, FL 34994-3949

Phone

(772) 781-5681

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Wilson Physical Therapy. P.a., Inc

  • Physical Therapy Clinic/Center
  • Stuart, FL
  • NPI 1689892952
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1598867798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 SE FEDERAL HWY",
            "address_2": "SUITE 203",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943949",
            "telephone_number": "772-781-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 SE FEDERAL HWY",
            "address_2": "SUITE 203",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943949",
            "telephone_number": "772-781-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DWIGHT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "FLPT0006232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson Physical Therapy. P.a., Inc
• Andrew James Wilson II
• Brooke Wilson
• Cindy Wilson, DDS
• Danyel Wilson
• Judith A Wilson, COTA
• Kayla Elaine Wilson
• Kristen Wilson
• Kristy Kay Wilson
• Lindsay Wilson, MS CCC SLP

• Physical Therapist in Stuart, FL
• Providers in Stuart, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.