Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACQUELINE SUSAN WILSON PTA
NPI 1275430134
Physical Therapy Assistant in Medina, TN

Active since October 23, 2026
401 PROMISE WAY LN, MEDINA, TN 38355(731) 462-0020 Get Directions Write a Review

NPPES record added: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline Susan Wilson Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE SUSAN WILSON PTA (NPI 1275430134) is an individual physical therapy assistant in Medina, Tennessee, licensed in Tennessee (5810) and active in the NPI registry since October 2026. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275430134
Entity TypeIndividualFemale
Primary Taxonomy225200000X
Provider Legal NameJACQUELINE SUSAN WILSONCredential: PTA
Location Address401 PROMISE WAY LNMedina, TN 38355-6967
Mailing Address278 Plunk StHenderson, TN 38340-2107
Sole ProprietorNo
Enumeration DateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1275430134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License✔ Licensed in TN · 5810
Definition
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
401 PROMISE WAY LN, Medina, TN 38355

Secondary Practice Locations 2

Location 1100 Cherrywood PlJackson, TN 38305-1799 · Phone (731) 668-1900
Location 2597 W Forest AveJackson, TN 38301-3935 · Phone (731) 300-4800

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
401 PROMISE WAY LN
MEDINA, TN 38355
Nursing Facility/Intermediate Care Facility
401 PROMISE WAY LN
MEDINA, TN 38355
Skilled Nursing Facility
401 PROMISE WAY LN
MEDINA, TN 38355
Skilled Nursing Facility
401 PROMISE WAY LN
MEDINA, TN 38355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Wilson's NPI number?

The NPI number for Jacqueline Wilson is 1275430134. It was assigned to this individual provider in the NPPES registry on October 23, 2026.

Where is Jacqueline Wilson located?

Jacqueline Wilson practices at 401 Promise Way Ln, Medina, TN 38355. The listed phone number is (731) 462-0020.

What is Jacqueline Wilson's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Wilson was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.