MARYBETH L WILSON (DPT) – Physical Therapist, NPI 1144515263

MARYBETH L WILSON (DPT) is a healthcare provider. based in Columbia, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2011014903 (MO). The NPI Number for MARYBETH L WILSON (DPT) is 1144515263

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MARYBETH L WILSON (DPT)
NPI
1144515263
Phone
(573) 449-8771
Address
3301 Berrywood Dr
Enumeration Date
16 June 2011
Last Update Date
6 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4066833000
Graduation Year
2011 (15 years ago)
PAC ID
5193040731
Group Practice PAC ID
4082904487
Professional Enrollment ID
I20150203000001
Address ID
MT597257379DI600XXSXXX500

Contacts

Secure Messaging
MWILSON387898@WM.PROVIDENCEDIRECT.ORG
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for MARYBETH L WILSON (DPT)

  • 3301 Berrywood Dr

    Suite 204

    Columbia, MO 652016517

    Phone: (573) 449-8771

    Fax: (573) 449-6563

    Type: Location

  • 3301 BERRYWOOD DR

    SUITE 204

    COLUMBIA, MO 652016517

    Phone: (573) 449-8771

    Fax: (573) 449-6563

    Type: Location

  • 600 MT HIGHWAY 91 S

    DILLON, MT 597257379

    Phone: (406) 683-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2015-02-03

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
I20150203000001IPhysical Therapist In Private PracticeMTTBD

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 65201)

Loading plans...

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: 4082904487View full group profile
NameSpecialtyState
Internal MedicineWA
Internal MedicineMT
Emergency MedicineMT
Physician AssistantGA
Nurse PractitionerVA
Clinical Social WorkerMT
General SurgeryMO
Internal MedicineMT
U R O L O G YMT
Emergency MedicineMT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify MARYBETH L WILSON (DPT) with an NPI only?
You can start verification with NPI 1144515263 for MARYBETH L WILSON (DPT), then check state licensing separately.
Can I rely on MARYBETH L WILSON (DPT) being an active provider?
As of the registry snapshot, MARYBETH L WILSON (DPT) is marked active.
What taxonomy line describes MARYBETH L WILSON (DPT)?
For research purposes, treat MARYBETH L WILSON (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARYBETH L WILSON (DPT) on a map?
Expect Columbia, Missouri as a primary anchor for MARYBETH L WILSON (DPT) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

Similar Providers

4501, South Harvest Road, Columbia, Boone County, Missouri, 65203, United States
NPI: 1003811258
1506, Chapel Hill Road, Colonies, Columbia, Boone County, Missouri, 65203, United States
NPI: 1710984059
3904, Chambray Court, West Pointe, Columbia, Boone County, Missouri, 65203, United States
NPI: 1225035579
4108, Big Sur Boulevard, Katy Lake Estates, Columbia, Boone County, Missouri, 65203, United States
NPI: 1396727467
411, East Broadway, West End, Columbia, Boone County, Missouri, 65201, United States
NPI: 1649250143
1506, Chapel Hill Road, Colonies, Columbia, Boone County, Missouri, 65203, United States
NPI: 1639131683
2604, Shamrock Drive, Greystone, Columbia, Columbia Township, Boone County, Missouri, 65202, United States
NPI: 1104874833
3301, Berrywood Drive, Columbia, Boone County, Missouri, 65201, United States
NPI: 1801847033
2902, Forum Boulevard, Columbia, Boone County, Missouri, 65203, United States
NPI: 1033160122