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

Kellie T Wilson, MPT

Individual provider Physical Therapist · NPI 1306982384

Kellie T Wilson, MPT is a Physical Therapist in Private Practice in Bend, Oregon. Qualified in 1993, 33 years ago. Practices with Physical Therapy Works, Inc, a 14-clinician group and accepts Medicare assignment.

Years since qualifying
33
In the registry since
2007
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

2115 NE Wyatt Ct Ste 103
Bend, OR 97701-7679
Phone: (541) 382-2070
Fax: (541) 685-2639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1306982384
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022
Mailing address330 Ne Marshall Ave, Bend, OR 97701-4346

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Physical Therapy Works, Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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