KELSEY WILDE DPT
NPI 1427465962
Physical Therapist - Geriatrics in Newberg, OR

Q: What is Kelsey Wilde's NPI number?

The NPI number for Kelsey Wilde is 1427465962. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Q: What is Kelsey Wilde's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Wilde was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 16, 2014

441 WERTH BLVD., NEWBERG, OR 97123(503) 538-9436 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kelsey Wilde Dpt NPPES

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

KELSEY WILDE DPT (NPI 1427465962) is an individual geriatrics provider in Newberg, Oregon, licensed in Oregon (60690) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1427465962

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameKELSEY WILDECredential: DPT

Location Address441 WERTH BLVD.Newberg, OR 97123

Mailing Address441 Werth Blvd.Newberg, OR 97123 · (503) 538-9436

Phone(503) 538-9436

Sole ProprietorNo

Enumeration DateJuly 16, 2014

Last NPPES UpdateAugust 20, 2014

✔ NPI 1427465962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in OR · 60690

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

441 WERTH BLVD., Newberg, OR 97123

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Wilde Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Wilde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premere Rehab LLC

2.3 mi

Physical Therapist

730 FOOTHILLS DR
Newberg, OR 97132

Reassigned Medicare billing, Oregon enrollment
34 clinicians in this Medicare group

NPI 1952603359 (503) 554-0767

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

403 services21 patients

Therapy procedure for walking training, each 15 minutes 97116

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

261 services22 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

160 services21 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

133 services11 patients

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 Kelsey Wilde's NPI number?

The NPI number for Kelsey Wilde is 1427465962. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Kelsey Wilde located?

Kelsey Wilde practices at 441 Werth Blvd., Newberg, OR 97123. The listed phone number is (503) 538-9436.

What is Kelsey Wilde's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Kelsey Wilde enrolled in Medicare?

Yes. Kelsey Wilde is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Wilde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Wilde reassigns Medicare benefits to Premere Rehab LLC (Newberg, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Wilde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Wilde accept?

Health plans from Moda Health Plan, Inc. list Kelsey 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 Kelsey Wilde was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.