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

Mr. Douglas Brian Wiley Jr., PT

Individual provider Physical Therapist · NPI 1992812879

Mr. Douglas Brian Wiley Jr., PT is a Physical Therapist in Kirkwood, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2006.

Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
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

333 S Kirkwood Rd Ste 201
Kirkwood, MO 63122-6161
Phone: (314) 909-4848
Fax: (314) 909-4824
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2014016140 (MO)
Physical Therapist Taxonomy 225100000X · Licence 070.013844 (IL)

Record details

NPI number1992812879
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESMay 30, 2014

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