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

Mr. John David Wild Jr., DPT

Individual provider Physical Therapist · NPI 1508245606

Mr. John David Wild Jr., DPT is a Physical Therapist in Private Practice in Ponchatoula, Louisiana. Qualified in 2013, 13 years ago. Practices with Anatomix Physical Therapy Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
13
Licensed in
LA
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

510 W Pine St
Ponchatoula, LA 70454-3738
Phone: (985) 634-1966
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 08568 (LA)

Record details

NPI number1508245606
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 21, 2015
Last updated in NPPESMay 21, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Anatomix Physical Therapy Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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