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

Mr. Kevin Douglas Wicks, PT

Individual provider Physical Therapist · NPI 1154496412

Mr. Kevin Douglas Wicks, PT is a Physical Therapist in Private Practice in Sarasota, Florida. Qualified in 1993, 33 years ago. Practices with Wicks In-House Gulfcoast Therapy PLLC, a 3-clinician group. Licensed in Florida.

Years since qualifying
33
Licensed in
FL
In the registry since
2006
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

3568 Clark Rd
Sarasota, FL 34231-8408
Phone: (941) 924-8868
Fax: (941) 924-6670
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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 PT9887 (FL)

Record details

NPI number1154496412
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 22, 2006
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Wicks In-House Gulfcoast Therapy Pllc — 3 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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