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

Haley Nicole Wilson, PT, DPT

Individual provider Physical Therapist · NPI 1023789500

Haley Nicole Wilson, PT, DPT is a Physical Therapist in Private Practice in Lees Summit, Missouri. Qualified in 2021, 5 years ago. Practices with Northland Physical Therapy and Rehab Services Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
5
Licensed in
KS, MO
In the registry since
2021
Specialties on file
2
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

2861 NE Independence Ave Ste 104
Lees Summit, MO 64064-2379
Phone: (816) 272-8538
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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 2021037851 (MO)
Physical Therapist Taxonomy 225100000X · Licence 11-06896 (KS)

Record details

NPI number1023789500
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northland Physical Therapy And Rehab Services Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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