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

Kristen Michelle Wilson

Individual provider Physical Therapist · NPI 1730835760

Kristen Michelle Wilson is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2021, 5 years ago. Practices with Jacksonville Orthopaedic Institute Inc, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
5
Licensed in
CA, FL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1325 San Marco Blvd Ste 102
Jacksonville, FL 32207-8549
Phone: (904) 858-7045
Fax: (904) 858-7047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5393 Roosevelt Blvd Ste 17, Jacksonville, FL 32210-8424 — (904) 389-8570

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT40849 (FL)
Physical Therapist Taxonomy 225100000X · Licence 301719 (CA)

Record details

NPI number1730835760
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2022
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

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 Jacksonville Orthopaedic Institute Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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