Wilson Physical Therapy & Wellness in Columbia - Physical Therapy
Wilson Physical Therapy & Wellness - NPI 1407994692
Wilson Physical Therapy & Wellness is a Physical Therapy in Columbia, Tennessee. Wilson Physical Therapy & Wellness practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Wilson Physical Therapy & Wellness is 1407994692. The last update date is 2013-08-22.
Wilson Physical Therapy & Wellness's current location address is 1412 Trotwood Ave, Columbia, Tennessee. You can contact this provider via phone number 9313818444. The mailing address for Wilson Physical Therapy & Wellness is 1412 Trotwood Ave, Columbia, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wilson Physical Therapy & Wellness |
|---|---|
| Address | 1412 Trotwood Ave, Columbia, Tennessee |
| Phone Number | 9313818444 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT- |
|---|---|
| Authorized Official Name | Wilson Bradley Walter |
| Credentials | P.T., A.T. |
| Telephone Number | 9313818444 |
NPI Number Detail
| NPI Number | 1407994692 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2013-08-22 |
Provider Mailing Address Detail
| Address | 1412 Trotwood Ave |
|---|---|
| City | Columbia |
| State | Tennessee (TN) |
| Post Code | 384014968 |
| Phone Number | 9313818444 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | 1648 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3144510 | TN | BLUE CROSS BLUE SHIELD | |
| 446647 | TN | TENNCARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wilson Physical Therapy & Wellness by the Centers for Medicare & Medicaid Services?
The Wilson Physical Therapy & Wellness has been assigned the NPI (National Provider Identifier) 1407994692 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Wilson Physical Therapy & Wellness?
The Wilson Physical Therapy & Wellness is situated at 1412 Trotwood Ave, in the city of Columbia, state of TN, with the zip code 384014968.
What is the area of specialization for Wilson Physical Therapy & Wellness, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wilson Physical Therapy & Wellness is Physical Therapy, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407994692 to Wilson Physical Therapy & Wellness?
The Centers for Medicare & Medicaid Services originally issued the 1407994692 to Wilson Physical Therapy & Wellness on 2007-02-01.
As of what date were the Wilson Physical Therapy & Wellness's details last updated?
The information pertaining to the Wilson Physical Therapy & Wellness, including its address, specialty, and other details, was most recently updated on 2013-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA