| Haley Nicole Wilson, PT, DPT | |
|
2861 Ne Independence Ave Ste 104, Lees Summit, MO 64064-2379 | |
| (816) 272-8538 | |
| Not Available |
| Full Name | Haley Nicole Wilson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapy |
| Experience | 3 Years |
| Location | 2861 Ne Independence Ave Ste 104, Lees Summit, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023789500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11-06896 (Kansas) | Secondary |
| 225100000X | Physical Therapist | 2021037851 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boost Sports Performance Llc | 8921171604 | 10 |
| Provider Name | Northland Physical Therapy & Rehab Services, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740273218 PECOS PAC ID: 1850370453 Enrollment ID: O20040716000918 |
| Provider Name | Boost Sports Performance Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548428931 PECOS PAC ID: 8921171604 Enrollment ID: O20080715000245 |
| Mailing Address | Practice Location Address |
|---|---|
| Haley Nicole Wilson, PT, DPT 2861 Ne Independence Ave, Ste 104, Lees Summit, MO 64064-2379 Ph: (816) 272-8538 | Haley Nicole Wilson, PT, DPT 2861 Ne Independence Ave Ste 104, Lees Summit, MO 64064-2379 Ph: (816) 272-8538 |
Megan M Heintz, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 Nw Murray Rd, Lees Summit, MO 64081 Phone: 816-944-4244 Fax: 813-974-8614 | |
Abriana P Wood, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3680 Ne Akin Dr Ste 130, Lees Summit, MO 64064 Phone: 816-831-1920 | |
Beth Bruce, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Se Topaz Dr, Lees Summit, MO 64063 Phone: 816-682-8213 | |
Dr. Andrew Joseph Brimhall, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 806 Sw Blue Pkwy, Lees Summit, MO 64063 Phone: 816-272-1427 Fax: 816-600-2602 | |
Nicole Montgomery, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 829 Sw Lemans Ln, Lees Summit, MO 64082 Phone: 816-352-9461 | |
Austin Tyler Williams, PT, DPT, OCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1629 Ne Westwind Dr, Lees Summit, MO 64086 Phone: 816-944-6825 Fax: 816-548-1024 | |
Dr. Patnakon Kevin Sonthana, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1254 Se Century Dr, Lees Summit, MO 64081 Phone: 816-524-1442 Fax: 816-524-1445 |