KRISTOFER MICHAEL WILSON (DPT) – Physical Therapist, NPI 1518303361

KRISTOFER MICHAEL WILSON (DPT) is a healthcare provider. based in Springboro, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT014219 (OH). The NPI Number for KRISTOFER MICHAEL WILSON (DPT) is 1518303361

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
KRISTOFER MICHAEL WILSON (DPT)
NPI
1518303361
Phone
(937) 806-0318
Address
325 N MAIN ST
Enumeration Date
21 May 2013
Last Update Date
21 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8442552225
Graduation Year
2013 (13 years ago)
PAC ID
9537308705
Group Practice PAC ID
6103246723
Professional Enrollment ID
I20130619000211
Address ID
OH453426444MI4501XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for KRISTOFER MICHAEL WILSON (DPT)

  • 325 N MAIN ST

    SUITE 100

    SPRINGBORO, OH 450668005

    Phone: (937) 806-0318

    Fax: (937) 806-0319

    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: 2013-06-19

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
I20130619000211IPhysical Therapist In Private PracticeOHTBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities28324$0
97140Therapy procedure using manual technique, each 15 minutes17924$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14624$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes9821$0
97161Evaluation for physical therapy, typically 20 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 45066)

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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: 6103246723View full group profile
NameSpecialtyState
N E U R O S U R G E R YOH
Physician AssistantOH

Reviews

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Frequently asked questions

Can I cross-check KRISTOFER MICHAEL WILSON (DPT) using NPI 1518303361?
NPI 1518303361 belongs to KRISTOFER MICHAEL WILSON (DPT); compare other details if you need extra assurance.
Would KRISTOFER MICHAEL WILSON (DPT) appear as active to a payer?
You can treat KRISTOFER MICHAEL WILSON (DPT) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KRISTOFER MICHAEL WILSON (DPT)?
KRISTOFER MICHAEL WILSON (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Ohio is KRISTOFER MICHAEL WILSON (DPT) registered?
Use Springboro, Ohio as the headline location for KRISTOFER MICHAEL WILSON (DPT) here.
When was this NPI issued?
Enumeration for KRISTOFER MICHAEL WILSON (DPT) is noted as May 21, 2013 where the registry provides it.

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