Active NPI
Wilder Wellness & Physical Therapy
- Physical Therapy Clinic/Center
- Murfreesboro, TN
National Provider Identifier
1649922097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- WILDER WELLNESS & PHYSICAL THERAPY
- Practice address
- 1012 Rosebud CT
Murfreesboro, TN 37129-0228 - Phone
- (865) 850-8050
- Fax
- (615) 747-2114
- NPI assigned
- Jan 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Courtney Leigh Wilder, PT, DPT, ATC
- Title
- Physical Therapist
- Phone
- (865) 850-8050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1012 Rosebud CT
Murfreesboro, TN 37129-0228
Mailing address
1012 Rosebud CT
Murfreesboro, TN 37129-0228
Phone (865) 850-8050
Other names 1
- Courtney Wilder
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Murfreesboro, TN
- NPI 1437330453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643155200000",
"number": "1649922097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 ROSEBUD CT",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371290228",
"telephone_number": "865-850-8050",
"fax_number": "615-747-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 ROSEBUD CT",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371290228",
"telephone_number": "865-850-8050",
"fax_number": "615-747-2114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILDER WELLNESS & PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-26",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A",
"authorized_official_last_name": "WILDER",
"authorized_official_first_name": "COURTNEY",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "865-850-8050",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT, DPT, ATC"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Courtney Wilder",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.