Emily Katherine Wilson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5842 Issued in ME

Practice address

222 Auburn St Ste 103
Portland, ME 04103-6005

Phone

(207) 200-6293

NPI assigned

Feb 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1962860585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 AUBURN ST STE 103",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036005",
            "telephone_number": "207-200-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 AUBURN ST STE 103",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036005",
            "telephone_number": "207-200-6293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 Prairie Ave",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820094867",
            "country_code": "US",
            "telephone_number": "307-637-4617",
            "fax_number": "307-637-3568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "EMILY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1618",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "5842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wilmot, M.D.
• Roger Goodwin Wilmot Jr.
• Amy Wilson, FNP-BC
• Benjamin Frederick Wilson, MD
• Christina Nicole Wilson, MD
• Jennifer E Wilson, RD
• Marit Denham Wilson, LCSW
• Natasha Sandraya Wilson, LCSW
• Norman E Wilson, M.D.
• Phillip Duane Wilson, D.D.S.

• Physical Therapist in Portland, ME
• Providers in Portland, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.