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

Kaitlyn Wilson

Individual provider Speech-Language Pathologist · NPI 1972285294

Kaitlyn Wilson is a Qualified Speech Language Pathologist in Bridgeport, West Virginia. Qualified in 2023, 3 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
3
Licensed in
WV
In the registry since
2023

Practice location Address checks out

2025 White Oaks Blvd
Bridgeport, WV 26330-5402
Phone: (304) 612-9592
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP-0986 (WV)

Record details

NPI number1972285294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 4, 2023
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
Mailing address25 Lofty Ln, Montana Mines, WV 26586-2700

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bridgeport