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

Wylde Physical Therapy, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1740406123

Wylde Physical Therapy, LLC is a Physical Medicine & Rehabilitation Physician in Waterman, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

320 W Adams St
Waterman, IL 60556-4000
Phone: (815) 264-8600
Fax: (331) 431-5462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 125 N Cedar St., Waterman, IL 60556-0098 — (815) 264-8600

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 070006362 (IL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1740406123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Wylde — Owner/Physical Therapist · (815) 264-8600
NPI enumeratedApril 17, 2007
Last updated in NPPESJuly 14, 2025
Certification dateJuly 1, 2025
Mailing addressPo Box 98, Waterman, IL 60556-0098