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

Dr. Brent Wilson, DPT

Individual provider Orthopedic Physical Therapist · NPI 1346836814

Dr. Brent Wilson, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Elmhurst Olympic Service Corporation, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
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

1640 W Roosevelt Rd
Chicago, IL 60608-1316
Phone: (312) 355-8305
Fax: (312) 413-8333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 070.025455 (IL)

Record details

NPI number1346836814
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 17, 2020
Last updated in NPPESJanuary 11, 2021
Certification dateJanuary 11, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Elmhurst Olympic Service Corporation — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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