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

Dr. Brent Wild, DPT

Individual provider Physical Therapist · NPI 1346638707

Dr. Brent Wild, DPT is a Physical Therapist in Private Practice in Redlands, California. Graduated from Loma Linda University School of Medicine in 2014, 12 years ago. Practices with Citrus Valley Physical Therapy Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2079 Orange Tree Ln
Redlands, CA 92374-2849
Phone: (909) 435-5729
Fax: (909) 295-3232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 42104 (CA)

Record details

NPI number1346638707
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJanuary 7, 2015
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022
Mailing address2079 Orange Tree Ln, Redlands, CA 92374-2849

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Citrus Valley Physical Therapy Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Redlands