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

Individual provider Physical Therapist · NPI 1053428698

Lucas Bo Wilson, MPT is a Physical Therapist in Private Practice in Redding, California. Qualified in 2004, 22 years ago. Practices with Shasta Orthopedics and Sports Medicine a Medical Corporation, a 37-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2006
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

405 Redcliff Dr Ste 100
Redding, CA 96002-0157
Phone: (530) 246-2467
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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 PT30275 (CA)

Record details

NPI number1053428698
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Shasta Orthopedics And Sports Medicine A Medical Corporation — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Redding