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

Theo Wilson, PT

Individual provider Physical Therapist · NPI 1164851895

Theo Wilson, PT is a Physical Therapist in Private Practice in Hartford, Connecticut. Qualified in 1998, 28 years ago. Practices with Life Home Therapy LLC, a 46-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
28
Licensed in
CT
In the registry since
2013
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

16 Avery Hts
Hartford, CT 06106-4201
Phone: (347) 490-4333
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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 008444 (CT)

Record details

NPI number1164851895
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 4, 2013
Last updated in NPPESNovember 4, 2013
Mailing address16 Avery Hts, Hartford, CT 06106-4201

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Life Home Therapy Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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