| Kristen Michelle Wilson, | |
|
1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 | |
| (904) 858-7045 | |
| (904) 858-7047 |
| Full Name | Kristen Michelle Wilson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1325 San Marco Blvd Ste 102, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730835760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 301719 (California) | Secondary |
| 225100000X | Physical Therapist | PT40849 (Florida) | Primary |
| Provider Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Provider Name | Ohana Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851486237 PECOS PAC ID: 7911972906 Enrollment ID: O20040901001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Michelle Wilson, Po Box 117345, Atlanta, GA 30368-7345 Ph: (904) 346-3465 | Kristen Michelle Wilson, 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 Ph: (904) 858-7045 |
Michelle Senia Antonio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000 | |
Southeast Orthopedic Specialists, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2627 Riverside Ave, 3rd Floor, Jacksonville, FL 32204 Phone: 904-634-0640 Fax: 904-634-0203 | |
Jessica Dailey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223 Phone: 904-886-3228 | |
Alison Mantel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3901 University Blvd S, Jacksonville, FL 32216 Phone: 904-345-7310 | |
Savannah Faulk, PT, DPT, LSVT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1325 San Marco Blvd Ste 200, Jacksonville, FL 32207 Phone: 904-477-9287 | |
Dr. Bethany Marie Meyers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Neuro Pt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8777 Hampshire Glen Dr S, Jacksonville, FL 32256 Phone: 313-570-4383 |