Abigail Claire Wild, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30282 Issued in MD

Practice address

23415 Three Notch Rd Ste 2026
California, MD 20619-4021

Phone

(240) 530-8188

Fax

(240) 237-8572

NPI assigned

Jun 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, MD2 enrollments

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

88.63 of 100Reported as group

Quality

75.41

Promoting interoperability

100

Improvement activities

40

Cost

75.75

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 and National Provider Directory roles.

• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Olney, MD
  • NPI 1487093167
  Medicare reassignment NPD
• Fairview Express Care

  dba M Health Fairview Recovery Clinic

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1053952606
  Medicare reassignment NPD
• Healtheast Outpatient Services, LLC

  • Physical Therapist
  • Saint Paul, MN
  • NPI 1225382526
  Medicare reassignment NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Hagerstown, MD
  • NPI 1235577123
  NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Gainesville, VA
  • NPI 1063393833
  NPD
• Fairview Express Care

  dba M Health Fairview Pain Clinic - Minneapolis

  • Pain Clinic/Center
  • Minneapolis, MN
  • NPI 1457397150
  NPD
• Fairview Express Care

  • General Practice Physician
  • Edina, MN
  • NPI 1831707207
  NPD

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1639855075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 4TH ST SE APT 1110",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143869",
            "telephone_number": "434-249-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23415 THREE NOTCH RD STE 2026",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206194021",
            "telephone_number": "240-530-8188",
            "fax_number": "240-237-8572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14101 Fairview Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553372537",
            "country_code": "US",
            "telephone_number": "855-324-7843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILD",
        "first_name": "ABIGAIL",
        "middle_name": "CLAIRE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13171",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Merryman Weisburgh, PHARMD
• Ashley Welch
• Camryn Whittington
• Kelly Wiedmann
• Rozanne Wijesinghe
• Jacquilyn Wilkerson
• Thomas McCall Wilkinson, MD
• Megan Williams
• Aryn Wilson
• Elizabeth Wiser

• Physical Therapist in California, MD
• Providers in California, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.