Wilson Physical Therapy and Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WILSON PHYSICAL THERAPY AND PERFORMANCE

Doing business as

Capacity Physical Therapy and Wellness

Practice address

645 Hanley Industrial CT
Brentwood, MO 63144-1919

Phone

(314) 200-5733

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Alexandria WilsonNPI 1518484971

Title

Doctor of Physical Therapy

Phone

(661) 809-7604

Specialties & licenses 1

Addresses

Other names 1

• Capacity Physical Therapy and Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandria Noelle Wilson, PT, DPT, ATC

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1518484971
  NPD Authorized official

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1942035951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MICHIGAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 HANLEY INDUSTRIAL CT",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441919",
            "telephone_number": "314-200-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON PHYSICAL THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "661-809-7604"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capacity Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marci J Welch
• Wester Health Care, Inc.
• Blaine Joseph Wieland, PT
• Sarah Elizabeth Wightman
• Chancia T Williams, LPC
• Jovi Wong, MD
• April Wright, M.D.
• David Yoder
• Elizabeth Young, D.M.D.

• Physical Therapy Clinic/Center in Brentwood, MO
• Providers in Brentwood, MO by specialty
• Physical Therapy Clinic/Center in Missouri

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