Mitsue Alice Wilcoxson, ATC, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

900 N University St
B63 Mackey Arena, Purdue University
West Lafayette, IN 47907-2070

Phone

(765) 494-1703

Fax

(765) 494-9899

NPI assigned

Jun 17, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649215450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 SUMMIT DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479062229",
            "telephone_number": "765-497-0849",
            "fax_number": "765-494-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N UNIVERSITY ST",
            "address_2": "B63 MACKEY ARENA, PURDUE UNIVERSITY",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072070",
            "telephone_number": "765-494-1703",
            "fax_number": "765-494-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOXSON",
        "first_name": "MITSUE",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "ATC, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Brooke Wichert, M.A. SLP-CCC
• Rachel Wichlinski
• Heather L Wicker, L
• Wickshire West Lafayette Opco LLC
• Heather May Wilberg, B.S.
• Brittany Michelle Williams, PHARMD
• Kasey Williams, NP
• Kerry Lorton Williams, CNA/ CHHA
• Mark Alan Williams, O.D.
• Nicole Williams

• Physical Therapist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.