Danielle Wild, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P22053 Issued in NC

Practice address

1709 Legion Rd Ste 100
Chapel Hill, NC 27517-2373

Phone

(919) 932-7266

Fax

(919) 932-7250

NPI assigned

Feb 21, 2023

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KJC CorpGroup PAC ID 5991617193, 5 clinicians

Practice addresses (Care Compare)

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.

• KJC Corp

  • Physical Therapist
  • Chapel Hill, NC
  • NPI 1497724660
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1649978453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIDGECREST DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142104",
            "telephone_number": "732-710-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 LEGION RD STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172373",
            "telephone_number": "919-932-7266",
            "fax_number": "919-932-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "DANIELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "20Y6E",
            "identifier": "BCBS",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8347517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stewart P. Wignall, DDS
• Neil Ari Wijetunga, MD, PHD, MS
• Samuel Hunter Wike, MD
• Joseph S Wilber, PA-C
• Claire Wilcox, MD
• Aldridge D Wilder Jr., DDS
• Erin Nicole Wildermuth, MD
• Amy Elizabeth Wildwood, LCMHC
• Kirk C Wilhelmsen, MD
• Christen Lynnise Wilhight, PHARMD

• Physical Therapist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.