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

Individual provider Physical Therapy Clinic/Center · NPI 1619609617

Dr. Kingsly Philips Wilson, MSPT is a Physical Therapy Clinic/Center in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

1110 2nd Ave Rm 302
New York, NY 10022-2021
Phone: (312) 646-8041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 048703 (NY)

Record details

NPI number1619609617
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedJune 28, 2022
Last updated in NPPESJune 28, 2022
Certification dateJune 27, 2022

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