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

Angela Renee Wilson

Individual provider Physical Therapist · NPI 1750048658

Angela Renee Wilson is a Physical Therapist in Private Practice in Gainesville, Georgia. Qualified in 1994, 32 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
32
Licensed in
GA
In the registry since
2021

Practice location Address checks out

1012 Enota Dr NE
Gainesville, GA 30501
Phone: (770) 287-0714
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT006712 (GA)

Record details

NPI number1750048658
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 26, 2021
Last updated in NPPESNovember 26, 2021
Certification dateNovember 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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