COURTNEY WILDER (NPI# 1922368323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922368323 |
Entity Type | Individual |
Full Name | COURTNEY WILDER |
Credential | DPT |
Practice Address |
1100 Commerce Drive Suite 114 Racine WI 53406 |
Practice Telephone | 2628863431 |
Practice Fax Number | 2628863954 |
Mailing Telephone | 2628863431 |
Mailing Fax Number | 2628863954 |
Enumeration Date | 2012-05-21 |
Last Update Date | 2012-05-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
11942 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | WISCONSIN THERAPY LICENSE | 11942 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215462247 | Courtney Wilder | Health Educator | 2816 E Jackson St, Suite C, Hugo, OK 74743-4250 | 2017-04-27 |
1437330453 | Courtney Leigh Wilder | Physical Therapist | 520 Highland Ter Ste A, Murfreesboro, TN 37130 | 2007-11-19 |
Street Address |
1100 COMMERCE DRIVE SUITE 114 |
City | RACINE |
State | WI |
Zip Code | 53406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
Find all providers in zip 53406 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013321124 | Victoria Ann Moerchen | Physical Therapist | 3409 N Downer Avenue, Uwm, Pavilion, Pt Suite, Rm 366, Milwaukee, WI 53211-2956 | 2014-06-17 |
1467763508 | Douglas Litscher | Physical Therapist | 125 Monroe Ave, Rice Lake, WI 54868-3204 | 2010-06-23 |
1306163761 | Julie Collison | Physical Therapist | 1409 Swamp Rd, Green Bay, WI 54313-1475 | 2010-04-26 |
1447426929 | Developmental Steps By Fons | Physical Therapist | 4102 Foxwood Ct, Janesville, WI 53546-8887 | 2008-05-05 |
1821262700 | Patricia E Barina | Physical Therapist | 16185 Burleigh Pl, Brookfield, WI 53005-2851 | 2008-04-22 |
1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
1447421656 | Gail Ann May | Physical Therapist | 205 Lodi St, Lodi, WI 53555-1220 | 2008-03-14 |
1548450372 | Lori Dominiczak | Physical Therapist | 4002 W Cherrywood Ln, Brown Deer, WI 53209-1002 | 2007-07-27 |
1144410069 | Jill Marie Nelson | Physical Therapist | N10732 Newton Lake Rd, Athelstane, WI 54104-9629 | 2007-07-26 |
1215143524 | Debra R Reichl | Physical Therapist | Center for Blind and Visually Impaired Children, 5600 W Brown Deer Rd, Ste. 4, Milwaukee, WI 53223 | 2007-05-15 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.