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

Deborah L Wildenhaus

Individual provider Physical Therapist · NPI 1639668072

Deborah L Wildenhaus is a Physical Therapist in Private Practice in Jackson, Michigan. Qualified in 1994, 32 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
Licensed in
MI
In the registry since
2018

Practice location Address checks out

2973 Springport Rd
Jackson, MI 49201-9060
Phone: (517) 435-3461
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501006582 (MI)

Record details

NPI number1639668072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2018
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

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 Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson