Wylde Physical Therapy, Llc - Medicare Physical Therapist in Waterman, IL

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Wylde Physical Therapy, Llc is a medicare enrolled "Physical Therapist - Orthopedic" provider in Waterman, Illinois. Their current practice location is 125 N. Cedar St, Waterman, Illinois. You can reach out to their office (for appointments etc.) via phone at (815) 264-8600.

Wylde Physical Therapy, Llc is licensed to practice in Illinois (license number 070006362) and it also participates in the medicare program. Wylde Physical Therapy, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1740406123.

Contact Information

Wylde Physical Therapy, Llc
125 N. Cedar St,
Waterman, IL 60556
(815) 264-8600
(815) 264-8644

Map and Direction




Healthcare Provider's Profile

Full NameWylde Physical Therapy, Llc
TypeFacility
SpecialityPhysical Therapist - Orthopedic
Location125 N. Cedar St, Waterman, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740406123
  • Provider Enumeration Date: 04/17/2007
  • Last Update Date: 08/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0941257760
  • Enrollment ID: O20050405000050

Medical Identifiers

Medical identifiers for Wylde Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740406123NPI-NPPES
1932047OtherILBCBS GROUP ID#

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic 070006362 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wylde Physical Therapy, Llc acts as a billing entity for following providers:
Provider NameMark P Naso
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699943902
PECOS PAC ID: 7911133954
Enrollment ID: I20131121000003
Provider NameMichele M Wylde
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962730416
PECOS PAC ID: 1759651185
Enrollment ID: I20170718003041
Provider NameSusan Mt Mckay
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1043765498
PECOS PAC ID: 0749619955
Enrollment ID: I20200408003587
Provider NameJessica A Heck
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447703681
PECOS PAC ID: 8123458221
Enrollment ID: I20200413002353
Provider NameSamantha J Ritter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356940936
PECOS PAC ID: 4183036452
Enrollment ID: I20201210000092
Provider NameSarah E Rice
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689926529
PECOS PAC ID: 9638581705
Enrollment ID: I20201214001982
Provider NameKathryn L Wasson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992158240
PECOS PAC ID: 7719343573
Enrollment ID: I20230519002807

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. Wylde Physical Therapy, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wylde Physical Therapy, Llc
Po Box 98,
Waterman, IL 60556-0098

Ph: (815) 264-8600		Wylde Physical Therapy, Llc
125 N. Cedar St,
Waterman, IL 60556

Ph: (815) 264-8600

Reviews and Comments


Physical Therapist in Waterman, IL

Mrs. Samantha Ritter, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 125 N Cedar St, Waterman, IL 60556
Phone: 815-264-8600    
Miss Maria Wanda Olson, PT SCS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 125 N Cedar St, Waterman, IL 60556
Phone: 815-264-8600    Fax: 815-264-8644
Dr. Alex Holliday, D.P.T
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 125 N. Cedar St., Waterman, IL 60556
Phone: 815-264-8600    
Michele Wylde, PT, ATC
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 125 North Cedar Street, Waterman, IL 60556
Phone: 815-264-8600    Fax: 815-264-8600

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.