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

Dr. Samuel George Wilson, DPT

Individual provider Physical Therapist · NPI 1093442881

Dr. Samuel George Wilson, DPT is a Physical Therapist in Private Practice in Pleasant Hill, Missouri. Qualified in 2022, 4 years ago. Practices with Serc Rebabilitation Partners, LLC, a 211-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and Texas.

Years since qualifying
4
Licensed in
MO, TX
In the registry since
2022
Specialties on file
2
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

2001 N State Route 7 Ste B
Pleasant Hill, MO 64080-8005
Phone: (816) 987-7049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1121 Flower Mound Rd Ste 540, Flower Mound, TX 75028-3251 — (972) 355-5200

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2025015751 (MO)
Physical Therapist Taxonomy 225100000X · Licence 1370272 (TX)

Record details

NPI number1093442881
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Serc Rebabilitation Partners, Llc — 211 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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