DR. JONATHAN B WILSON DO, DPT
NPI 1811363575
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Q: What is Jonathan Wilson's NPI number?

The NPI number for Jonathan Wilson is 1811363575. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Q: What is Jonathan Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Wilson was last updated on May 4, 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.

Active since August 18, 2015PECOS Enrolled

625 19TH ST S, BIRMINGHAM, AL 35233(205) 934-6957 Get Directions Write a Review

NPPES record last updated: May 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2025, May 14, 2020, Mar 15, 2016 (3 updates tracked since 2016).

On this page

About Dr. Jonathan B Wilson Do, Dpt NPPES

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

DR. JONATHAN B WILSON DO, DPT (NPI 1811363575) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811363575

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JONATHAN B WILSONCredential: DO, DPT

Location Address625 19TH ST SBirmingham, AL 35233-1900

Mailing Address625 19th St SBirmingham, AL 35233-1900 · (205) 934-6957

Phone(205) 934-6957

Sole ProprietorNo

Enumeration DateAugust 18, 2015

Last NPPES UpdateMay 4, 20253 updates tracked since enumeration

NPPES CertifiedMay 4, 2025

✔ NPI 1811363575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPhysical TherapistTaxonomy 225100000X · License PTH7703 (AL)

625 19TH ST S, Birmingham, AL 35233

Open in Google Maps ↗

Other Identifiers 4

Other511-68556AL · Bcbs Of Al

Other511-68569AL · Bcbs Of Al

OtherP01586197AL · Medicare Rr

Other13765704AL · Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan B Wilson Do, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

RUI ZHENG-PYWELL MD

Colon & Rectal Surgery