COURTNEY WILDER


Address: 1100 Commerce Drive Suite 114, Racine, WI 53406
Phone: 2628863431

COURTNEY WILDER (NPI# 1922368323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WI WISCONSIN THERAPY LICENSE 11942 01

Other Providers COURTNEY WILDER

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

Office Location

Street Address 1100 COMMERCE DRIVE SUITE 114
City RACINE
State WI
Zip Code 53406

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City RACINE
Zip Code 53406

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Dataset Information

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.

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