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

Individual provider Neurology Physical Therapist · NPI 1720717903

Tierra Wilson, PT, DPT is a Neurology Physical Therapist in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6595B Roosevelt Blvd
Philadelphia, PA 19149
Phone: (215) 743-2332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 523 Fellowship Rd Ste 290, Mount Laurel, NJ 08054-3418 — (856) 424-5552

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT031944 (PA)
Neurology Physical Therapist Taxonomy 2251N0400X · Licence 40QA02221100 (NJ)

Record details

NPI number1720717903
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 6, 2022
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

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