EMMA FAITH WILDER – Physical Therapist, NPI 1003792573

EMMA FAITH WILDER is a healthcare provider. based in Elizabethtown, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 009411 (KY). The NPI Number for EMMA FAITH WILDER is 1003792573

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
EMMA FAITH WILDER
NPI
1003792573
Phone
(270) 234-1569
Address
1222 WOODLAND DR
Enumeration Date
12 August 2025
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2702341569
Graduation Year
2025 (1 year ago)
PAC ID
5597261891
Group Practice PAC ID
4880591270
Professional Enrollment ID
I20251006000665
Address ID
KY427012710EL1222XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for EMMA FAITH WILDER

  • 1222 WOODLAND DR

    ELIZABETHTOWN, KY 427012710

    Phone: (270) 234-1569

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-10-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251006000665IPhysical Therapist In Private PracticeKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880591270View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

Does EMMA FAITH WILDER share an NPI with anyone else?
NPI numbers are unique to each provider or organization — EMMA FAITH WILDER uses 1003792573.
Does CMS list EMMA FAITH WILDER as active?
Yes — EMMA FAITH WILDER is active in the NPI listing used on this page.
What is EMMA FAITH WILDER best known for clinically?
Directory data describes EMMA FAITH WILDER with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for EMMA FAITH WILDER?
EMMA FAITH WILDER's geographic hint is Elizabethtown, Kentucky in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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