NICHOLAS D WILSON (PT) – Physical Therapist, NPI 1437233103

Physical Therapist

NICHOLAS D WILSON (PT) is a healthcare provider. based in Kalida, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT-6515 (OH). The NPI Number for NICHOLAS D WILSON (PT) is 1437233103

Main info

Male

Sole Proprietor

33 Years Of Experience

Accepts Medicare Assignment

Name

NICHOLAS D WILSON (PT)

NPI

1437233103

Phone

(419) 771-1073

Address

PO BOX 228

Enumeration Date

25 October 2006

Last Update Date

20 May 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4197711073

Graduation Year

1993 (33 years ago)

PAC ID

2769554922

Group Practice PAC ID

2668731134

Professional Enrollment ID

I20080702000599

Address ID

OH458911473VA1119XDRXX302

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

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Provider Addresses for NICHOLAS D WILSON (PT)

PO BOX 228
KALIDA, OH 458530228
Phone: (419) 771-1073
Fax: (419) 771-1074
Type: Mailing
Fortman Drive, Saint Marys, Auglaize County, Ohio, 45885, United States
SAINT MARYS, OH 458851870
Phone: (419) 300-8400
Fax: (419) 300-8401
Type: Location

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: 2008-07-02

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

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
I20080702000599	I	Physical Therapist In Private Practice	OH	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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
97110	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	619	45	$0
97112	Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	410	42	$0
97140	Therapy procedure using manual technique, each 15 minutes	382	39	$0
97161	Evaluation for physical therapy, typically 20 minutes	33	30	$0

View full utilization report →

Insurance plans in this area (ZIP 45853)

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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: 2668731134View full group profile