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

Kristie Mae Wilson, PT

Individual provider Physical Therapist · NPI 1376716639

Kristie Mae Wilson, PT is a Physical Therapist in Private Practice in Lake Orion, Michigan. Qualified in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Licensed in
MI
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4405 S Baldwin Rd Ste E
Lake Orion, MI 48359-2164
Phone: (248) 390-6422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501009262 (MI)

Record details

NPI number1376716639
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 8, 2008
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Orion