MISS JERAN MARIE WILSON PTA
NPI 1922271949
Physical Therapy Assistant in Superior, WI
About Miss Jeran Marie Wilson Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS JERAN MARIE WILSON PTA (NPI 1922271949) is an individual physical therapy assistant in Superior, Wisconsin, licensed in Wisconsin (1169-019) and active in the NPI registry since April 2008.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 Jeran Wilson's NPI number?
The NPI number for Jeran Wilson is 1922271949. It was assigned to this individual provider in the NPPES registry on April 10, 2008. The provider is also known as Jeran Rivala.
Where is Jeran Wilson located?
Jeran Wilson practices at 6630 Ogden Ave, Superior, WI 54880. The listed phone number is (218) 391-8788.
What is Jeran Wilson's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Jeran Wilson was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.