Mission Physical Therapy LLC of Wilson

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MISSION PHYSICAL THERAPY LLC OF WILSON

Practice address

1901 Westwood Ave W
Wilson, NC 27893-2149

Phone

(252) 237-3004

NPI assigned

Oct 22, 2024

Organization subpart

No

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

Authorized official

Name

Laura Wilson, DPTNPI 1811355761

Title

Owner

Phone

(704) 202-2466

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.

• Laura Wilson, DPT

  • Physical Therapist
  • Wilson, NC
  • NPI 1811355761
  NPD Authorized official

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1629899679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 PEBBLE BEACH CIR N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278969151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WESTWOOD AVE W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932149",
            "telephone_number": "252-237-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PHYSICAL THERAPY LLC OF WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-202-2466",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah J Miller, PA-C
• Minnies Care Services LLC
• Miss Daisy'S & Associates, Inc
• Miss Daisy'S Gentlemen of the Future Inc.
• Miss Daisy'S Health Care,Inc.
• Avis Regina Mitchell
• Brook O Mitchell, OTR/L
• Joanna Brooks Mitchell, RPH
• Sharon Jeanette Mitchell, FNP
• William Ryan Mitchell, M.D.

• Physical Therapist in Wilson, NC
• Providers in Wilson, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.