MICHAEL A WILSON (DPT) – Physical Therapist, NPI 1790759819

MICHAEL A WILSON (DPT) is a healthcare provider. based in West chester, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT016637 (PA). The NPI Number for MICHAEL A WILSON (DPT) is 1790759819

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL A WILSON (DPT)
NPI
1790759819
Phone
(484) 574-1434
Address
672 KADAR DR
Enumeration Date
15 February 2006
Last Update Date
21 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
9638162357
Group Practice PAC ID
5890681092
Professional Enrollment ID
I20040407000555
Address ID
PA190636502ME5201XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for MICHAEL A WILSON (DPT)

  • 672 KADAR DR

    WEST CHESTER, PA 193828124

    Phone: (484) 574-1434

    Type: Mailing

  • 1161 MCDERMOTT DR

    WEST CHESTER, PA 193804064

    Phone: (484) 356-9401

    Fax: (833) 941-3871

    Type: Location

  • 525, West Chester Pike, Llanerch, Havertown, Haverford Township, Delaware County, Pennsylvania, 19083, United States

    HAVERTOWN, PA 190834539

    Phone: (610) 449-8400

    Fax: (610) 449-6392

    Type: Location

  • 587, Coach Hill Court, Exton, West Whiteland Township, Chester County, Pennsylvania, 19380, United States

    WEST CHESTER, PA 193801735

    Phone: (484) 574-1434

    Type: Mailing

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: 2004-04-07

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
I20040407000555IPhysical Therapist In Private PracticePATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,419199$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes836165$0
97140Therapy procedure using manual technique, each 15 minutes642162$0
97150Therapy procedure in a group setting550129$0
97530Therapy procedure using functional activities17862$0
View full utilization report →

Insurance plans in this area (ZIP 19382)

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Provider's Procedures

MICHAEL A WILSON (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYPA97001Physical therapy evaluation116113
PHYSICAL THERAPYPA97535Self-care or home management training, each 15 minutes12199

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: 5890681092View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Diagnostic RadiologyIN
-PA
-PA
Physical Therapist In Private PracticePA
Orthopedic SurgeryPA
P O D I A T R YDE
-PA
-PA
Orthopedic SurgeryPA

Reviews

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Frequently asked questions

How is MICHAEL A WILSON (DPT) identified in CMS data?
CMS-hosted NPPES data lists MICHAEL A WILSON (DPT) with NPI 1790759819.
Does the file indicate MICHAEL A WILSON (DPT) is practicing under active NPI?
Directory data currently reports MICHAEL A WILSON (DPT) as active.
What is MICHAEL A WILSON (DPT)'s specialty?
The listing groups MICHAEL A WILSON (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect MICHAEL A WILSON (DPT) on a map?
Expect West Chester, Pennsylvania as a primary anchor for MICHAEL A WILSON (DPT) unless the record lists multiple sites.
Is the information about MICHAEL A WILSON (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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