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

Mr. Jimmie Joe Wilson, PT

Individual provider Physical Therapist · NPI 1053531939

Mr. Jimmie Joe Wilson, PT is a Physical Therapist in Private Practice in Joplin, Missouri. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
MO
In the registry since
2007
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

2727 Mc Clelland Blvd
Joplin, MO 64804-1626
Phone: (417) 625-2190
Fax: (417) 625-2097
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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 110637 (MO)

Record details

NPI number1053531939
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 26, 2007
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 schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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