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

Mr. Brad C Wilson, DPT, ATC

Individual provider Physical Therapist · NPI 1093011595

Mr. Brad C Wilson, DPT, ATC is a Physical Therapist in Private Practice in McComb, Mississippi. Qualified in 2001, 25 years ago. Practices with Professional Rehab Associates, a 7-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
25
Licensed in
MS
In the registry since
2011
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1301 A Harrison Ave Professional Rehab Associates
McComb, MS 39648
Phone: (601) 250-5455
Fax: (601) 250-5453
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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 MSPT3350 (MS)

Record details

NPI number1093011595
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , ATC
Sole proprietorNo
NPI enumeratedJanuary 31, 2011
Last updated in NPPESJuly 21, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Professional Rehab Associates — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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