Mr Jamie Johnston Wilson, PTA is a
Physical Therapy Assistant based in Salem, Missouri. Mr Jamie Johnston Wilson is licensed to practice in Missouri (license number 2007023425) and his current practice location is
Hwy 72 West, Salem, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 729-6141.
NPI number for Mr Jamie Johnston Wilson is 1114190576 and his current mailing address is 13295 County Road 5480, Rolla, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114190576.
Provider's Profile
| Full Name | Mr Jamie Johnston Wilson |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapy Assistant |
|---|
| Location | Hwy 72 West, Salem, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114190576
- Provider Enumeration Date: 04/08/2008
- Last Update Date: 04/08/2008
Medical Identifiers
Medical identifiers for Mr Jamie Johnston Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114190576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 2007017529 (Missouri) | Secondary |
| 225200000X | Physical Therapy Assistant | 2007023425 (Missouri) | Primary |
| 163W00000X | Registered Nurse | (Illinois) | Secondary |
| 225200000X | Physical Therapy Assistant | (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jamie Johnston Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jamie Johnston Wilson, PTA
13295 County Road 5480,
Rolla, MO 65401-5873
Ph: (573) 368-2644 | Mr Jamie Johnston Wilson, PTA
Hwy 72 West,
Salem, MO 65560
Ph: (573) 729-6141 |
Reviews and Comments