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

Mr. Frederick Charles Wilson, PT, ATC

Individual provider Physical Therapist · NPI 1558330886

Mr. Frederick Charles Wilson, PT, ATC is a Physical Therapist in Independence, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
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.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

18905 E 33rd Street Ct S
Independence, MO 64057-3336
Phone: (816) 589-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 00156 (MO)
Physical Therapist Taxonomy 225100000X · Licence 107962 (MO)

Record details

NPI number1558330886
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , ATC
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESJuly 13, 2026

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