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

David Wilson, PTA

Individual provider Physical Therapy Assistant · NPI 1104541358

David Wilson, PTA is a Physical Therapy Assistant in Sumter, South Carolina. Licensed in South Carolina. Registered with an NPI since 2022.

Licensed in
SC
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

625 Aidan Dr
Sumter, SC 29154-6078
Phone: (803) 847-2846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2606 (SC)

Record details

NPI number1104541358
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022
Mailing address625 Aidan Dr, Sumter, SC 29154-6078

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