Kareem Wilson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

303507 Issued in CA

Practice address

809 Fremont Ave
Los Altos, CA 94024-5617

Phone

(347) 571-3974

NPI assigned

Sep 1, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1689394371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N 19TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121858",
            "telephone_number": "347-571-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 FREMONT AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245617",
            "telephone_number": "347-571-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAREEM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-01",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara C Widney, LMFTT
• William M Dolan MD a Professional Corporation
• Carol Denise Williams, PH.D.
• Elizabeth Williams
• Judith Kimball Williams, LMFT
• Wendy Elise Witham, LMFT
• June Shao Withers, M.D.
• Beth Wolff, LPCC #15374
• Lacona Woltmon, LMFT
• Dana C. Won, MD

• Physical Therapist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.