Wilder Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WILDER PHYSICAL THERAPY, LLC

Practice address

53 Darby Rd Ste E
Paoli, PA 19301-1480

Phone

(610) 981-1698

NPI assigned

May 9, 2022

Organization subpart

No

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

Authorized official

Name

Elizabeth Michel, PT, DPTNPI 1083153605

Title

Owner, Physical Therapist

Phone

(610) 981-1698

Specialties & licenses 1

Addresses

Practitioners 1

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

• Elizabeth Michel

  • Orthopedic Physical Therapist
  • Lafayette Hill, PA
  • NPI 1083153605
  NPD Authorized official

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1972249415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 CHURCH RD",
            "city": "ORELAND",
            "state": "PA",
            "postal_code": "190752303",
            "telephone_number": "610-564-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 DARBY RD STE E",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011480",
            "telephone_number": "610-981-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "610-981-1698",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Whiteman
• Amanda Whitlock, PA-C
• Nicole Breeden Wiggs
• Alison S Wilbur, BCBA
• Lynn Wilby, MED
• Wiley Ventures Inc
• Sandra Kay Wiley, LCSW
• James Stuart Wilkes, DMD
• Leola Wilkins, MED
• Renee S Wilkins, P.A.-C.

• Physical Therapy Clinic/Center in Paoli, PA
• Providers in Paoli, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.