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DR. KINGSLY PHILIPS WILSON M.S PT
NPI 1619609617
Clinic/Center - Physical Therapy in New York, NY

Active since June 28, 2022
1110 2ND AVE RM 302, NEW YORK, NY 10022(312) 646-8041 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kingsly Philips Wilson M.s Pt NPPES

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

DR. KINGSLY PHILIPS WILSON M.S PT (NPI 1619609617) is an individual physical therapy provider in New York, New York, licensed in New York (048703) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1619609617
Entity TypeIndividualMale
Primary Taxonomy261QP2000X
Provider Legal NameDR. KINGSLY PHILIPS WILSONCredential: M.S PT
Location Address1110 2ND AVE RM 302New York, NY 10022-2021
Mailing Address1110 2nd Ave Rm 302New York, NY 10022-2021
Phone(312) 646-8041
Sole ProprietorYes
Enumeration DateJune 28, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1619609617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in NY · 048703
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
1110 2ND AVE RM 302, New York, NY 10022
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kingsly Philips Wilson M.s Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Kingsly Philips Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Outreach Physical And Occupational Therapy & Speech Rehabilitation, PLLC
13 mi
Physical Therapist
3 GRACE AVENUE, SUITE 119
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Outreach Physical And Occupational Therapy & Speech Rehabilitation, Pl
  • 161 clinicians in this Medicare group
NPI 1841526399 (212) 842-0080
Stern At Home Physical Therapy PC
28 mi
Physical Medicine & Rehabilitation
4B MEDICAL PARK DR
Pomona, NY 10970
  • Reassigned Medicare billing, New York enrollment
  • 165 clinicians in this Medicare group
NPI 1720563380 (516) 810-1290

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 6

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.
2,350 services51 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.
1,296 services48 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.
738 services35 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
288 services20 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
224 services11 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
42 services36 patients

Other Providers at the Same Location NPPES 20

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

YAJAIRA CASTILLO
Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
New York County (212) 842-0080
MS. AMANDA GAHLOT OTR/L
Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
New York County (212) 842-0080
BHAVANA JAIN
Physical Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
New York County (212) 842-0080
ELLEN KATE RIELLY SLP
Speech-Language Pathologist
1110 2ND AVE RM 302
NEW YORK, NY 10022
New York County (212) 842-0080
DAVID CRANDALL OTR
Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
New York County (862) 800-5582
DEVIKA DEVARAJAN
Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
New York County (212) 842-0080
MR. SPENCER ROBERT PERRY OTR/L
Occupational Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
New York County (212) 842-0080
MAYURI PRAMOD MHATRE
Physical Therapist
1110 2ND AVE RM 302
NEW YORK, NY 10022
New York County (212) 842-0080

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 Kingsly Philips Wilson's NPI number?

The NPI number for Kingsly Philips Wilson is 1619609617. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Kingsly Philips Wilson located?

Kingsly Philips Wilson practices at 1110 2nd Ave Rm 302, New York, NY 10022. The listed phone number is (312) 646-8041.

What is Kingsly Philips Wilson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Kingsly Philips Wilson enrolled in Medicare?

Yes. Kingsly Philips Wilson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kingsly Philips Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kingsly Philips Wilson reassigns Medicare benefits to 2 organizations: Outreach Physical And Occupational Therapy & Speech Rehabilitation, PLLC (Great Neck, NY) and Stern At Home Physical Therapy PC (Pomona, NY). Each 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 Kingsly Philips Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kingsly Philips Wilson was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.