KATIE LYNN WILSON PT, DPT
NPI 1972980779
Physical Therapist - Pediatrics in Tyler, TX

Active since April 30, 2015
1001 WSW LOOP 323, TYLER, TX 75701(903) 509-1313(903) 509-1383 Get Directions Write a Review

NPPES record last updated: March 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katie Lynn Wilson Pt, Dpt NPPES

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

KATIE LYNN WILSON PT, DPT (NPI 1972980779) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (1232246) and active in the NPI registry since April 2015. She maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1972980779
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKATIE LYNN WILSONCredential: PT, DPT
Location Address1001 WSW LOOP 323Tyler, TX 75701-9416
Mailing Address100 E Ferguson St Ste 1204Tyler, TX 75702-5700 · (903) 509-2040
Fax(903) 509-1383
Sole ProprietorYes
Enumeration DateApril 30, 2015
Last NPPES UpdateMarch 4, 2018
NPI 1972980779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in TX · 1232246
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1001 WSW LOOP 323, Tyler, TX 75701

Secondary Practice Location 1

Location 11001 Wsw Loop 323Tyler, TX 75701-9416 · Phone (903) 509-1313 · Fax (903) 509-1383

Other Identifiers 1

Medicaid1972980779TX

Other Providers at the Same Location NPPES 8

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

Occupational Therapist
1001 WSW LOOP 323
TYLER, TX 75701
Speech-Language Pathologist
1001 WSW LOOP 323
TYLER, TX 75701
Speech-Language Pathologist
1001 WSW LOOP 323
TYLER, N/A 75701
Occupational Therapy Assistant
1001 WSW LOOP 323
TYLER, TX 75701
Physical Therapy Assistant
1001 WSW LOOP 323
TYLER, TX 75701
Speech-Language Pathologist
1001 WSW LOOP 323
TYLER, TX 75701
Specialist/Technologist (Speech-Language Assistant)
1001 WSW LOOP 323
TYLER, TX 75701
Occupational Therapy Assistant
1001 WSW LOOP 323
TYLER, TX 75701

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 Katie Wilson's NPI number?

The NPI number for Katie Wilson is 1972980779. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Katie Wilson located?

Katie Wilson practices at 1001 Wsw Loop 323, Tyler, TX 75701. The listed phone number is (903) 509-1313.

What is Katie Wilson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Katie Wilson was last updated on March 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.