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

Olivia Grace Wilson, PTA

Individual provider Physical Therapy Assistant · NPI 1922896661

Olivia Grace Wilson, PTA is a Physical Therapy Assistant in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1650 Lelia Dr
Jackson, MS 39216-4864
Phone: (601) 397-6390
Fax: (601) 510-2381
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 7931 (MS)

Record details

NPI number1922896661
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

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