Rae Wilson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000010223 Issued in TN

Practice address

97 Dover St Ste 200
Avon, IN 46123-7356

Phone

(317) 272-1954

NPI assigned

Nov 8, 2006

Last updated

Apr 24, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 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.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Kokomo, IN
  • NPI 1518069913
  Medicare reassignment Care Compare group NPD
• Anew Therapy & Wellness LLC

  dba CORE Therapy and Wellness LLC

  • Rehabilitation Clinic/Center
  • Terre Haute, IN
  • NPI 1225792534

  Physical Therapist

  Medicare reassignment NPD
• Anew Therapy & Wellness LLC

  dba Core Therapy and Wellness

  • Rehabilitation Clinic/Center
  • Indianapolis, IN
  • NPI 1346002839

  Physical Therapist

  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1881764785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 PLANTERS RIDGE DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176181",
            "telephone_number": "317-345-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 DOVER ST STE 200",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237356",
            "telephone_number": "317-272-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RAE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000010223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "05007942A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Ann Williams
• Shantiara Williams, RBT
• Emma Williamson
• Christopher M Wilson, MD
• Mark Owen Wilson, M.S.W., L.C.S.W.
• Steven G Wilson, CRNA
• Michelle Winbush, RBT
• Grace F Winchester, NP
• Windrose Health Network Inc (Windrose Health Network - Avon)
• Wisconsin Vision, Inc (Heartland Vision)

• Physical Therapist in Avon, IN
• Providers in Avon, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.