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

Wilson Park, DPT

Individual provider Physical Therapist · NPI 1750959995

Wilson Park, DPT is a Physical Therapist in Private Practice in Arlington, Virginia. Qualified in 2021, 5 years ago. Practices with Professional Sportscare and Rehab LLC, a 103-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
5
Licensed in
MD, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605
Phone: (703) 892-6500
Fax: (703) 521-3415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Cedar Rd, Chesapeake, VA 23322-7105 — (757) 512-7626

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305215239 (VA)
Physical Therapist Taxonomy 225100000X · Licence CP015186T (MD)

Record details

NPI number1750959995
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024
Mailing address2800 S Shirlington Rd Ste 1100, Arlington, VA 22206-3605

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Professional Sportscare And Rehab Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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