Lindsay Morgan Wilde, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT028862 Issued in PA

Practice address

790 E Market St Ste 290
West Chester, PA 19382-4891

Phone

(610) 696-3306

Fax

(610) 696-3305

NPI assigned

Aug 23, 2020

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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 and National Provider Directory roles.

• Elite Integrated Therapy Centers, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1184673600
  NPD

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1891307583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 E MARKET ST STE 290",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824891",
            "telephone_number": "610-696-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E MARKET ST STE 290",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824891",
            "telephone_number": "610-696-3306",
            "fax_number": "610-696-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "LINDSAY",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric William Wickersham, CRNP
• David Wiedis, J.D., M.C.C.S
• Mark H Wiegand, D.C.
• William Wilcox
• Sandra Wilde-Sutton
• Laura E Wildman, PAC
• Ryan Wilkie
• Amy Beth Willey, MSPT
• Cheryl Ann Williams, CRNP
• Clare R Williams, APN-C

• Physical Therapist in West Chester, PA
• Providers in West Chester, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.