Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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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
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Practice location Address checks out

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients23
Services billed 641 a service is one billed item, such as a visit, a test or a procedure
Average patient age87

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Powerback Rehabilitation LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 616 clinicians in the practice; 12 are shown here.

Other providers in Bridgeport