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

Shelly Wilson, PT

Individual provider Physical Therapist · NPI 1275712812

Shelly Wilson, PT is a Physical Therapist in Private Practice in Bolingbrook, Illinois. Graduated from University of New Mexico School of Medicine in 2007, 19 years ago. Practices with Active Solutions Therapy Serv Inc, a 9-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
19
Trained at
University of New Mexico School of Medicine
Licensed in
NM
In the registry since
2007
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

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone: (630) 296-2222
Fax: (630) 759-9510
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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 3435 (NM)

Record details

NPI number1275712812
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 31, 2007
Last updated in NPPESJanuary 12, 2017
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Active Solutions Therapy Serv Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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