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

Rae Wilson, PT

Individual provider Physical Therapist · NPI 1881764785

Rae Wilson, PT is a Physical Therapist in Private Practice in Avon, Indiana. Qualified in 2000, 26 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
26
Licensed in
TN
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

97 Dover St Ste 200
Avon, IN 46123-7356
Phone: (317) 272-1954
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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 PT0000010223 (TN)

Record details

NPI number1881764785
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address732 Planters Ridge Dr, Collierville, TN 38017-6181

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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