Nathalie Wilson, MPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT010988L Issued in PA

Practice address

207 W 4TH St
Bridgeport, PA 19405-1061

Phone

(610) 228-4641

NPI assigned

Jul 14, 2023

Last updated

Jul 14, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1881373033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SEBASTIAN LN",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622841",
            "telephone_number": "610-513-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 4TH ST",
            "city": "BRIDGEPORT",
            "state": "PA",
            "postal_code": "194051061",
            "telephone_number": "610-228-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NATHALIE",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT010988L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resources for Human Development, Inc. (Creating Increased Connections (CIC))
• Suzanne Riley, MS
• Dana J Schaeffer-Cherashore, RPH
• Caleb William Schultz, MS, OTR/L
• Eric Anthony Sibilla, DPT
• Samantha Wong, D.M.D.
• Workers First Clinical Services LLC
• Workers First Pharmacy Services LLC (Synergy Pharmacy)
• Lisa Young, CSW

• Orthopedic Physical Therapist in Bridgeport, PA
• Providers in Bridgeport, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.