Wilson Physical Therapy and Performance, LLC
NPI 1134370414ActiveOrganization· Physical Therapist· Holly Springs, NC
Physical Therapist in Holly Springs, North Carolina, registered in NPPES in October 2008. The authorized official on file is James McLeod Wilson, PT, DPT, Member/Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1134370414 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 6, 2008 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Jul 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NC) |
|---|
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