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WYLDE PHYSICAL THERAPY, LLC
NPI 1740406123
Physical Therapist - Orthopedic in Waterman, IL

Active since April 17, 2007
320 W ADAMS ST, WATERMAN, IL 60556(815) 264-8600(331) 431-5462 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2018, Jun 20, 2018 (2 updates tracked since 2018).

About Wylde Physical Therapy, Llc NPPES

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

WYLDE PHYSICAL THERAPY, LLC (NPI 1740406123) is a healthcare organization registered as an orthopedic in Waterman, Illinois and active in the NPI registry since April 2007. The organization maintains a secondary practice location in Waterman and lists Michele Wylde, Owner/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1740406123
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameWYLDE PHYSICAL THERAPY, LLC
Location Address320 W ADAMS STWaterman, IL 60556-4000
Mailing AddressPo Box 98Waterman, IL 60556-0098 · (815) 264-8600 · Fax (331) 431-5462
Phone(815) 264-8600
Fax(331) 431-5462
Organization SubpartNo
Authorized OfficialMichele WyldeOwner/physical Therapist · (815) 264-8600
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1740406123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in IL · 070006362
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.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
320 W ADAMS ST, Waterman, IL 60556
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Secondary Practice Location 1

Location 1125 N Cedar St.Waterman, IL 60556-0098 · Phone (815) 264-8600 · Fax (331) 431-5462

Other Identifiers 1

Other1932047IL · Bcbs Group Id#

Other Providers at the Same Location NPPES

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

MICHELE WYLDE PT, ATC
Physical Therapist
320 W ADAMS ST
WATERMAN, IL 60556
Dekalb County (815) 264-8600

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 Wylde Physical Therapy, LLC's NPI number?

The NPI number for Wylde Physical Therapy, LLC is 1740406123. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Wylde Physical Therapy, LLC located?

Wylde Physical Therapy, LLC is located at 320 W Adams St, Waterman, IL 60556. The listed phone number is (815) 264-8600.

What is Wylde Physical Therapy, LLC'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 Wylde Physical Therapy, LLC was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.