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MR. JACK ANTHONY WILDER PT
NPI 1326269739
Physical Therapist - Orthopedic in Olympia, WA

Active since May 01, 2007
405 BLACK HILLS LN SW, SUITE G, OLYMPIA, WA 98502(360) 956-2562(360) 956-1894 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jack Anthony Wilder Pt NPPES

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

MR. JACK ANTHONY WILDER PT (NPI 1326269739) is an individual orthopedic provider in Olympia, Washington, licensed in Washington (PT00009619) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1326269739
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMR. JACK ANTHONY WILDERCredential: PT
Location Address405 BLACK HILLS LN SW, SUITE GOlympia, WA 98502-8661
Mailing Address4701 77th Ct SeOlympia, WA 98501-9697 · (360) 455-9068
Phone(360) 956-2562
Fax(360) 956-1894
Sole ProprietorNo
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1326269739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in WA · PT00009619
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
405 BLACK HILLS LN SW, Olympia, WA 98502
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Other Providers at the Same Location NPPES 5

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

PACIFIC MEDICAL, INC.
Durable Medical Equipment & Medical Supplies
405 BLACK HILLS LN SW, #D1
OLYMPIA, WA 98502
Thurston County (253) 380-9903
DANIEL T. DUGAW,D.O., P.S.
Family Medicine
405 BLACK HILLS LN SW, SUITE E
OLYMPIA, WA 98502
Thurston County (360) 352-8781
APRIA HEALTHCARE LLC
Durable Medical Equipment & Medical Supplies
405 BLACK HILLS LN SW, SUITE A
OLYMPIA, WA 98502
Thurston County (360) 352-1753
DANIEL M. KATZ D.O.
Family Medicine
405 BLACK HILLS LN SW, SUITE B1
OLYMPIA, WA 98502
Thurston County (360) 705-1015
DANIEL M. KATZ,D.O., PLLC
Family Medicine
405 BLACK HILLS LN SW, SUITE B1
OLYMPIA, WA 98502
Thurston County (360) 705-1015

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 Jack Wilder's NPI number?

The NPI number for Jack Wilder is 1326269739. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Jack Wilder located?

Jack Wilder practices at 405 Black Hills Ln SW Suite G, Olympia, WA 98502. The listed phone number is (360) 956-2562.

What is Jack Wilder's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Jack Wilder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.