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

Ronald Shane Wilson, PT

Individual provider Physical Therapist · NPI 1629150941

Ronald Shane Wilson, PT is a Physical Therapist in Private Practice in Columbia, Tennessee. Qualified in 1993, 33 years ago. Practices with Tennessee Orthopaedic Alliance PA, a 358-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
33
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

1050 N James M Campbell Blvd Ste 200
Columbia, TN 38401-2754
Phone: (931) 381-2663
Fax: (931) 490-1369
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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 2988 (TN)

Record details

NPI number1629150941
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023
Mailing addressPo Box 306556, Nashville, TN 37230-6556

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 Tennessee Orthopaedic Alliance Pa — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia