Individual provider Active NPI

Daria Wilson, DPT

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1689368292
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT033852 Issued in AZ
Practice address
9494 W Northern Ave Ste 114&115
Glendale, AZ 85305-1118
Phone
(623) 745-3112
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT033852 AZ Primary
Physical Therapist 225100000X 1391709 TX
Physical Therapist 225100000X 70027498 IL
Physical Therapist 225100000X CP056693T GA

Addresses

Primary practice location

9494 W Northern Ave Ste 114&115
Glendale, AZ 85305-1118

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 541-5846

Other practice location 1

1515 N Town East Blvd Ste 500
Mesquite, TX 75150-4145
Phone (214) 273-2903

Other practice location 2

800 Peachtree St NE Ste E2
Atlanta, GA 30308-1245
Phone (404) 254-3319

Other practice location 3

1340 E 47th St
Chicago, IL 60653-4508
Phone (773) 496-5147

Other practice location 4

5250 N Sheridan Rd Apt 416
Chicago, IL 60640-2556
Phone (720) 375-3295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230622002296 IL Practitioner - Physical Therapist in Private Practice 7214395243 Reassigns benefits to 1 organization
I20240624005045 TX Practitioner - Physical Therapist in Private Practice 7214395243 Reassigns benefits to 1 organization
I20241022005110 AZ Practitioner - Physical Therapist in Private Practice 7214395243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Sports Medicine and Rehabilitation LLCGroup PAC ID 2668457979, 172 clinicians
Independent Physical Therapy of Georgia, LLCGroup PAC ID 2961312244, shared by 11 NPIs, 526 clinicians

Practice addresses (Care Compare)

5110 N Dysart Rd
Suite 148
Litchfield Park, AZ 85340-3062
Phone (623) 547-4739

800 Peachtree St NE
Suite E2
Atlanta, GA 30308-1245
Phone (404) 523-7709

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT033852AZMDPhysical Therapist
CP056693TGAMDPhysical Therapist
70027498ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince May 22, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Jun 5, 2023 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince May 22, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 3, 2024 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

9494 W Northern Ave
Ste 114115
Glendale, AZ 85305
Phone (623) 745-3112

9494 W Northern Ave
Ste 114
Glendale, AZ 85305
Phone (623) 745-3112

6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909

5110 N Dysart Rd
Ste 148
Litchfield Pk, AZ 85340
Phone (623) 547-4739

4550 E Bell Rd
Ste 270
Phoenix, AZ 85032
Phone (602) 424-0494

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204

790 Remington Blvd
Bolingbrook, IL 60440

1340 E 47th St
Chicago, IL 60653
Phone (773) 496-5147

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

1515 N Town East Blvd
Ste 500
Mesquite, TX 75150
Phone (214) 273-2903

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1689368292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-541-5846",
            "fax_number": "423-541-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9494 W NORTHERN AVE STE 114&115",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853051118",
            "telephone_number": "623-745-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 N Town East Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751504145",
            "country_code": "US",
            "telephone_number": "214-273-2903",
            "fax_number": "469-306-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Peachtree St NE Ste E2",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303081245",
            "country_code": "US",
            "telephone_number": "404-254-3319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1340 E 47th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606534508",
            "country_code": "US",
            "telephone_number": "773-496-5147",
            "fax_number": "872-215-9417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5250 N Sheridan Rd Apt 416",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606402556",
            "country_code": "US",
            "telephone_number": "720-375-3295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DARIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT033852",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1391709",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70027498",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP056693T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.