Organization Active NPI

Wilder Wellness & Physical Therapy

  • Physical Therapy Clinic/Center
  • Murfreesboro, TN
National Provider Identifier
1649922097
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Jan 26, 2022

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, ATCNPI 1437330453
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.