EMMA BRONWYN WILCOCK (DPT, PT) – Physical Therapist, NPI 1417787516
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR
Provider Addresses for EMMA BRONWYN WILCOCK (DPT, PT)
2519 Cove Ave
LA Grande, OR 978503910
Phone: (541) 962-0830
Type: Location
669 FEARRINGTON POST
PITTSBORO, NC 273128523
Phone: (814) 441-6542
Type: Mailing
5830 GRANITE PKWY STE 800
PLANO, TX 750246775
Phone: (469) 694-0660
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: 2025-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20240912004064 | I | Physical Therapist In Private Practice | VA | TBD |
| I20250310001069 | I | Physical Therapist In Private Practice | NC | TBD |
| I20250710003834 | I | Physical Therapist In Private Practice | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97850)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | UT | |
| Physical Therapist In Private Practice | ID | |
| - | ID | |
| Physical Therapist In Private Practice | ID |
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