KENDALL E WILDE DPT
NPI 1417405499
Physical Therapist in Kennesaw, GA

Active since September 19, 2016
1615 RIDENOUR BLVD NW STE 204, KENNESAW, GA 30152(770) 580-8070(770) 285-8751 Get Directions Write a Review

NPPES record last updated: October 20, 2017. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 20, 2017, Sep 19, 2016 (2 updates tracked since 2016).

About Kendall E Wilde Dpt NPPES

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

KENDALL E WILDE DPT (NPI 1417405499) is an individual physical therapist in Kennesaw, Georgia, licensed in Georgia (PT013169) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1417405499
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKENDALL E WILDECredential: DPT
Location Address1615 RIDENOUR BLVD NW STE 204Kennesaw, GA 30152-4464
Mailing Address8541 E Anderson Dr Ste 100, Ste 100Scottsdale, AZ 85255-5430 · (480) 585-6810 · Fax (480) 585-6910
Fax(770) 285-8751
Sole ProprietorNo
Enumeration DateSeptember 19, 2016
Last NPPES UpdateOctober 20, 20172 updates tracked since enumeration
NPI 1417405499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in GA · PT013169 Licensed in AZ · 12414
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1615 RIDENOUR BLVD NW STE 204, Kennesaw, GA 30152

Other Identifiers 1

OtherPT013169GA · Physical Therapy License

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Physical Therapist
1615 RIDENOUR BLVD NW STE 204
KENNESAW, GA 30152
Physical Therapist
1615 RIDENOUR BLVD NW STE 204
KENNESAW, GA 30152
Physical Therapist
1615 RIDENOUR BLVD NW STE 204
KENNESAW, GA 30152
Physical Therapist
1615 RIDENOUR BLVD NW STE 204
KENNESAW, GA 30152
Physical Therapist
1615 RIDENOUR BLVD NW STE 204
KENNESAW, GA 30152
Physical Therapist
1615 RIDENOUR BLVD NW STE 204
KENNESAW, GA 30152

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 Kendall Wilde's NPI number?

The NPI number for Kendall Wilde is 1417405499. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Kendall Wilde located?

Kendall Wilde practices at 1615 Ridenour Blvd NW Ste 204, Kennesaw, GA 30152. The listed phone number is (770) 580-8070.

What is Kendall Wilde's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

What insurance does Kendall Wilde accept?

Health plans from Blue Cross and Blue Shield of Texas list Kendall Wilde as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kendall Wilde was last updated on October 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.