PATRICK RICHARD WILSON (PT) – Physical Therapist, NPI 1710288790

PATRICK RICHARD WILSON (PT) is a healthcare provider. based in Aberdeen, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT60184017 (WA). The NPI Number for PATRICK RICHARD WILSON (PT) is 1710288790

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK RICHARD WILSON (PT)
NPI
1710288790
Phone
(360) 533-3853
Address
1100 N J ST
Enumeration Date
8 November 2010
Last Update Date
8 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605333853
Graduation Year
2010 (16 years ago)
PAC ID
4385833771
Group Practice PAC ID
4880581677
Professional Enrollment ID
I20110118000164
Address ID
WA985206216AB220XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for PATRICK RICHARD WILSON (PT)

  • 1100 N J ST

    ABERDEEN, WA 985202438

    Phone: (360) 533-3853

    Type: Mailing

  • 220 W 1ST ST

    ABERDEEN, WA 985206216

    Phone: (360) 533-3853

    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: 2011-01-18

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
I20110118000164IPhysical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities2,82298$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes74342$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care16221$0
97162Evaluation for physical therapy, typically 30 minutes7771$0
View full utilization report →

Insurance plans in this area (ZIP 98520)

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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: 4880581677View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Can I use this page to confirm PATRICK RICHARD WILSON (PT)'s NPI?
Yes. PATRICK RICHARD WILSON (PT) is listed with NPI 1710288790 in the public NPI dataset.
Is PATRICK RICHARD WILSON (PT) listed as active for patients and plans?
The listing shows PATRICK RICHARD WILSON (PT) as active in the NPI system.
What is PATRICK RICHARD WILSON (PT)'s specialty?
The listing groups PATRICK RICHARD WILSON (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is PATRICK RICHARD WILSON (PT) based?
PATRICK RICHARD WILSON (PT) is tied to Aberdeen, Washington in the data we show; additional addresses may exist on the full record.
Is the information about PATRICK RICHARD WILSON (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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