DR. DAVID JOHN WILSON (PT, DPT) – Physical Therapist, NPI 1508668922

DR. DAVID JOHN WILSON (PT, DPT) is a healthcare provider. based in Renton, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 61657741 (WA). The NPI Number for DR. DAVID JOHN WILSON (PT, DPT) is 1508668922

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID JOHN WILSON (PT, DPT)
NPI
1508668922
Phone
(425) 235-9505
Address
451 DUVALL AVE NE STE 200
Enumeration Date
26 March 2025
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4252359505
Graduation Year
2024 (2 years ago)
PAC ID
5597278416
Group Practice PAC ID
6305737479
Professional Enrollment ID
I20250702002163
Address ID
WA980594675RE451XXNEXX409
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for DR. DAVID JOHN WILSON (PT, DPT)

  • 451 DUVALL AVE NE STE 200

    RENTON, WA 980594675

    Phone: (425) 235-9505

    Type: Location

  • 2406 BURCHAM ST

    KELSO, WA 986265141

    Phone: (360) 747-3235

    Type: Mailing

  • 4011 TALBOT RD S

    RENTON, WA 980555773

    Phone: (425) 690-3520

    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: 2025-07-02

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

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
I20250702002163IPhysical Therapist In Private PracticeWATBD

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 98059)

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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: 6305737479View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-VA
-WA
-OR
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

How do payers reference DR. DAVID JOHN WILSON (PT, DPT)?
For DR. DAVID JOHN WILSON (PT, DPT), use NPI 1508668922 as the unique 10-digit identifier.
Is DR. DAVID JOHN WILSON (PT, DPT) still an active registrant?
DR. DAVID JOHN WILSON (PT, DPT) carries an active NPI according to the public dataset.
What kind of doctor is DR. DAVID JOHN WILSON (PT, DPT)?
DR. DAVID JOHN WILSON (PT, DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DAVID JOHN WILSON (PT, DPT)?
Directory geography for DR. DAVID JOHN WILSON (PT, DPT) centers on Renton, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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