Michele Wylde, PT, ATC
Michele Wylde, PT, ATC is a Physical Therapist in Private Practice in Waterman, Illinois. Qualified in 2004, 22 years ago. Practices with Wylde Physical Therapy LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 22
- Licensed in
- IL
- In the registry since
- 2009
- Specialties on file
- 6
What do these letters mean?
Practice location Address checks out
320 W Adams StWaterman, IL 60556-4000
Phone: (815) 264-8600
Fax: (331) 431-5462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 125 North Cedar Street, Waterman, IL 60556 — (815) 264-8600
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070014036 (IL) |
|---|---|
| Sports Physical Therapist | Taxonomy 2251S0007X · Licence 070.014036 (IL) |
| Orthopedic Physical Therapist | Taxonomy 2251X0800X · Licence 070.014036 (IL) |
| Physical Therapy Clinic/Center | Taxonomy 261QP2000X · Licence 070.014036 (IL) |
| Physical Therapist | Taxonomy 225100000X · Licence 070.014036 (IL) |
| Geriatric Physical Therapist | Taxonomy 2251G0304X · Licence 070.014036 (IL) |
Record details
| NPI number | 1962730416 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PT , ATC |
| Sole proprietor | Yes |
| NPI enumerated | November 20, 2009 |
| Last updated in NPPES | July 1, 2025 |
| Certification date | July 1, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Wylde Physical Therapy Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |