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

Dr. Kelsey MS Wieduwilt, PT, DPT

Individual provider Physical Therapist · NPI 1992337042

Dr. Kelsey MS Wieduwilt, PT, DPT is a Physical Therapist in Private Practice in Jacksonville, North Carolina. Graduated from University of Alabama School of Medicine in 2019, 7 years ago. Practices with Synergy Physical Therapy and Sports Medicine LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Trained at
University of Alabama School of Medicine
Licensed in
OR
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

233 Bell Fork Rd Ste E
Jacksonville, NC 28540-6471
Phone: (910) 238-2259
Fax: (888) 209-9322
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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 63576 (OR)

Record details

NPI number1992337042
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 6, 2020
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Synergy Physical Therapy And Sports Medicine Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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