Justin Wilder, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

107534 Issued in IA

Practice address

1711 SW Plaza Pkwy
Ankeny, IA 50023-7325

Phone

(515) 417-0074

Fax

(515) 224-5140

NPI assigned

Jun 17, 2021

Sex

Male

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

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Des Moines Orthopaedic Surgeons PCGroup PAC ID 0345141719, 104 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.25 of 100Reported as group

Quality

80.42

Promoting interoperability

39

Improvement activities

40

Cost

77.9

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.

• Des Moines Orthopaedic Surgeons PC

  • Orthopaedic Surgery Physician
  • West Des Moines, IA
  • NPI 1255405221
  Medicare reassignment Care Compare group NPD
• Des Moines Orthopaedic Surgeons PC

  • Durable Medical Equipment & Medical Supplies
  • Urbandale, IA
  • NPI 1114783719
  NPD

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1912575754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 SW PLAZA PKWY",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237013",
            "telephone_number": "515-964-2322",
            "fax_number": "515-224-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 SW PLAZA PKWY",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237325",
            "telephone_number": "515-417-0074",
            "fax_number": "515-224-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "JUSTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "107534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan E Widner
• Sara Kristin Wiederin, DPT
• Taylor Wiedmeier
• Shannon Marie Wieland
• Wild Blossom Counseling, LLC
• Nathalie Rose Wiles
• Amber Wilkins, MSW, LMSW
• Erica Fawn Williams, RDH
• Rebecca Marshall Williams
• Samantha Jo Williams, OTR/L

• Physical Therapist in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.