Ryan Matthew Wilkerson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2000017 Issued in DC

Practice address

4001 Brandywine St NW Ste 301
Washington, DC 20016-1876

Phone

(202) 516-5697

NPI assigned

Jan 12, 2007

Last updated

Oct 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC, VA3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forever Fit Physical Therapy and Wellness LLCGroup PAC ID 1153513122, 40 clinicians

Made to Move LLCGroup PAC ID 5597088161, 8 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forever Fit Physical Therapy & Wellness, LLC

  • Physical Therapy Clinic/Center
  • Burtonsville, MD
  • NPI 1538489802

  DC

  Medicare reassignment Care Compare group NPD
• Made to Move LLC Dba Forever Fit Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Bowie, MD
  • NPI 1497154223

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Phoenix Rehabilitation and Health Services of Virginia, LLC

  • Physical Therapist
  • Cranberry Township, PA
  • NPI 1336155845

  VA

  Medicare reassignment NPD
• Forever Fit Physical Therapy & Wellness

  • Physical Therapist
  • Largo, MD
  • NPI 1144892555
  NPD
• Forever Fit Physical Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Bowie, MD
  • NPI 1073085924

  Physical Therapist

  NPD
• Progressive Physical Therapy, LLC

  dba PHOENIX Rehabilitation and Health Services, LLC

  • Physical Therapist
  • Columbia, MD
  • NPI 1558992404
  NPD
• Progressive Physical Therapy, LLC

  dba PHOENIX Rehabilitation and Health Services, LLC

  • Physical Therapist
  • Washington, DC
  • NPI 1487139309
  NPD (past)
• Progressive Physical Therapy, LLC

  dba Phoenix Rehabilitation and Health Services

  • Physical Therapist
  • Baltimore, MD
  • NPI 1649875030
  NPD (past)
• Progressive Physical Therapy, LLC

  dba PHOENIX Rehabilitation and Health Services, LLC

  • Physical Therapist
  • Rockville, MD
  • NPI 1871078675
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1669522488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 BRANDYWINE ST NW STE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200161876",
            "telephone_number": "202-516-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT2000017",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "19982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jasmine Wilkerson
• Joel Harrison Wilkerson, MD
• Keshera Wilkerson, HHA
• Marciana W. Wilkerson, M.D.
• Mattie Lee Wilkerson
• Sadiah Wilkes-Crawford
• Amber Lee Wilkes, MD
• Kristen Wilkes
• Theresa Wilkey
• Angela Estella Wilkins, FNP

• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.