Wild Physical Therapy and Performance

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WILD PHYSICAL THERAPY AND PERFORMANCE

Practice address

1 Superior Dr Unit B
Superior, CO 80027-8649

Phone

(818) 515-0434

NPI assigned

Jun 17, 2026

Organization subpart

No

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

Authorized official

Name

Nicole Wildermuth, DPT,CSCSNPI 1588233886

Title

Founder

Phone

(818) 515-0434

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicole Wildermuth, PT,DPT,CSCS

  • Physical Therapist
  • Boulder, CO
  • NPI 1588233886
  NPD Authorized official

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1679408801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18967 W 57TH DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804033008",
            "telephone_number": "818-515-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUPERIOR DR UNIT B",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278649",
            "telephone_number": "818-515-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6612 Fig St Unit 106",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800041027",
            "country_code": "US",
            "telephone_number": "818-515-0434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILD PHYSICAL THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "WILDERMUTH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "818-515-0434",
        "authorized_official_credential": "DPT,CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Richard Wenner, APN
• Ania Werocsy, RBT
• Daniel Whalen
• Ariana Whetsell
• Brianna Whittemore, M.D.
• Jennika Wildau, L.AC., DIPL. AC.
• Jacob John Wingerter
• Kevin Xie, PA-C
• Kylie Yang, PT, DPT
• Helen Bok Yeon, MD

• Physical Therapist in Superior, CO
• Providers in Superior, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.