Alexis Wilkerson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30426 Issued in MD

Practice address

12150 Annapolis Rd Ste 201
Glenn Dale, MD 20769-9183

Phone

(301) 352-8370

NPI assigned

May 30, 2025

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

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Virginia Commonwealth University, School of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evidence Physical Therapy, LLCGroup PAC ID 3779769971, 10 clinicians

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.

• Evidence Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Glenn Dale, MD
  • NPI 1831493030

  DC

  Medicare reassignment Care Compare group NPD
• Evidence Physical Therapy, LLC

  • Physical Therapist
  • Clinton, MD
  • NPI 1982176988
  NPD (past)

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1639062425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11807 MARY CATHERINE DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351045",
            "telephone_number": "301-609-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 201",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-352-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A. Warrick, LCSW-C
• R. White-Smith, M.ED
• Audrey Olivia White, DNP, FNP-C
• Kennedi Wickham
• Mary Grace Legaspi Wild, MSN, RN, AGPCNP-BC
• Monica Nicole Williams
• Elisha Nicole Wilson
• Xpress Medical Specialties, LLC
• Zenith Medical Care, LLC

• Physical Therapist in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.