Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wild Physical Therapy and Wellness LLC

Organization Physical Therapist · NPI 1174360176

Wild Physical Therapy and Wellness LLC is a Physical Therapist in Pawtucket, Rhode Island. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

545 Pawtucket Ave # LL04A
Pawtucket, RI 02860-6046
Phone: (812) 662-5033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1174360176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mollye Leas-Medrek — Owner · (812) 662-5033
NPI enumeratedJuly 9, 2024
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address555 N Main St # 1439, Providence, RI 02904-5722

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