KIMBERLYN JENA WILSON (PT, DPT) – Physical Therapist, NPI 1710531306
Physical Therapist
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Profile Insights
NPPES metrics only — not quality of care.
2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA
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Provider Addresses for KIMBERLYN JENA WILSON (PT, DPT)
525, Watson Boulevard, Warner Robins, Houston County, Georgia, 31093, United States
WARNER ROBINS, GA 310938556
Phone: (478) 953-4563
Type: Location
4660 RIVERSIDE PARK BLVD
MACON, GA 312101395
Phone: (478) 474-2114
Type: Location
260 W CLINTON ST STE 2
GRAY, GA 310325464
Phone: (478) 936-7621
Fax: (888) 369-9044
Type: Location
162, Shoal Creek Road, Round Oak, Jones County, Georgia, 31038, United States
ROUND OAK, GA 310383001
Phone: (478) 550-3702
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191213002272 | I | Physical Therapist In Private Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,368 | 62 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,010 | 59 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 524 | 44 | $0 |
| 97150 | Therapy procedure in a group setting | 206 | 37 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 65 | 56 | $0 |
Insurance plans in this area (ZIP 31093)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA |
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