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

MS. Kimberly Evonne Wilson, PTA

Individual provider Physical Therapy Assistant · NPI 1821226192

MS. Kimberly Evonne Wilson, PTA is a Physical Therapy Assistant in Virginia Beach, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2009
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1005 Springwood Ct
Virginia Beach, VA 23455-6692
Phone: (405) 314-6564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306602685 (VA)

Record details

NPI number1821226192
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 25, 2009
Last updated in NPPESJune 25, 2009

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