KENDRA LEE WILSON (DPT) – Physical Therapist, NPI 1912168709

KENDRA LEE WILSON (DPT) is a healthcare provider. based in East wenatchee, Washington. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT60022088 (WA). The NPI Number for KENDRA LEE WILSON (DPT) is 1912168709

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA LEE WILSON (DPT)
NPI
1912168709
Phone
(509) 884-1437
Address
230 GRANT RD STE B27
Enumeration Date
24 June 2008
Last Update Date
2 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098841437
Graduation Year
2008 (18 years ago)
PAC ID
4981777828
Group Practice PAC ID
6305733858
Professional Enrollment ID
I20080724000834
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for KENDRA LEE WILSON (DPT)

  • 230 GRANT RD STE B27

    EAST WENATCHEE, WA 988027715

    Phone: (509) 884-1437

    Fax: (509) 884-2811

    Type: Location

  • Lifeline Ambulance Station 2, 230, Grant Road, East Wenatchee, Douglas County, Washington, 98802, United States

    SUITE B27

    EAST WENATCHEE, WA 988025383

    Phone: (509) 884-1437

    Fax: (509) 884-2811

    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: 2008-07-24

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
I20080724000834IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes79578$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes59652$0
97140Therapy procedure using manual technique, each 15 minutes25840$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care15833$0
97530Therapy procedure using functional activities15014$0
View full utilization report →

Insurance plans in this area (ZIP 98802)

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Provider's Procedures

KENDRA LEE WILSON (DPT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWA97001Physical therapy evaluation3531
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes17718

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: 6305733858View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What NPI should I save for KENDRA LEE WILSON (DPT)?
Save NPI 1912168709 if you need a stable reference for KENDRA LEE WILSON (DPT).
Is KENDRA LEE WILSON (DPT) active in the national directory?
KENDRA LEE WILSON (DPT)'s public NPI profile is in an active state.
Does KENDRA LEE WILSON (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for KENDRA LEE WILSON (DPT). Clinical services aligned with this taxonomy classification.
Where is KENDRA LEE WILSON (DPT)'s primary listing?
We display East Wenatchee, Washington because that is what the record indicates for KENDRA LEE WILSON (DPT).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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