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

Shane Marcus Wilson

Individual provider Physical Therapy Assistant · NPI 1902440035

Shane Marcus Wilson is a Physical Therapy Assistant in Overland Park, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2019

Practice location Address checks out

10600 Mastin St
Overland Park, KS 66212-5723
Phone: (913) 681-0606
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 14-03105 (KS)

Record details

NPI number1902440035
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 1, 2019
Last updated in NPPESNovember 1, 2019
Mailing address9105 W 87th Ter, Overland Park, KS 66212-3607

Other providers in Overland Park