Christine Ann Wilson, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32672 Issued in CA

Practice address

1189 W State St
Redlands, CA 92373-8123

Phone

(909) 307-9121

Fax

(909) 307-9161

NPI assigned

Mar 5, 2009

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 names 1

• Mrs. Christine Ann Wilson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1942440706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 W STATE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738123",
            "telephone_number": "909-307-9121",
            "fax_number": "909-307-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 W STATE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738123",
            "telephone_number": "909-307-9121",
            "fax_number": "909-307-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT32672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "WILSON",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "MPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shayna Williams
• Oksana Williamson, RN
• Kelli Ann Wilms, M.S., CCC-SLP
• Cora Wilsey
• Regina Wilson-Shrader, RNC-MNN, MSN
• Denette Wilson
• James Wilson, M.D
• Kathleen Wilson
• Michael A. Wilson, M.D.
• Ryan David Wilson

• Physical Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.