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

Tracy Wilde

Individual provider Physical Therapist · NPI 1962509018

Tracy Wilde is a Physical Therapist in Private Practice in Simpsonville, South Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 1988, 38 years ago. Practices with Elite Integrated Therapy Centers LLC, a 52-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
38
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
SC
In the registry since
2006
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Practice location Address checks out

719B SE Main St
Simpsonville, SC 29681-3237
Phone: (864) 963-9229
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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 1509 (SC)

Record details

NPI number1962509018
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Elite Integrated Therapy Centers Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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