WYLDE PHYSICAL THERAPY, LLC
NPI 1740406123
Physical Therapist - Orthopedic in Waterman, IL
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
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wylde Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Wylde Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Wylde Physical Therapy, LLC enrolled in Medicare?
Yes. Wylde Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wylde Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Wylde Physical Therapy, LLC. A 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 the clinician's services. The largest specialties are Physical Therapist in Private Practice (3) and Occupational Therapist in Private Practice (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 15 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.
# Wylde Physical Therapy, Llc · NPI 1740406123
Orthopedic organization in Waterman, Illinois. Organization record, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1740406123 (Entity type: Organization)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Organization subpart:** No
- **Authorized official:** Michele Wylde, OWNER/PHYSICAL THERAPIST
## Practice location
- **Address:** 320 W ADAMS ST, Waterman, IL 60556-4000
- **Phone:** (815) 264-8600 · **Fax:** (331) 431-5462
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (3), Occupational Therapist in Private Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2025
- **Other identifiers:** Other 1932047 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1740406123) · Data from the CMS NPPES public registry.