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

Individual provider Physical Therapy Assistant · NPI 1356464127

Kevin Tillery, LPTA is a Physical Therapy Assistant in Wilson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
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Practice location Address checks out

1803 Forest Hills Rd
Wilson, NC 27893
Phone: (252) 243-9629
Fax: (252) 243-0915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3353 (NC)

Record details

NPI number1356464127
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedApril 9, 2007
Last updated in NPPESJuly 8, 2007

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