Shelly Wilson, PT
NPI 1275712812ActiveIndividual· Physical Therapist· Bolingbrook, IL
Physical Therapist (PT) in Bolingbrook, Illinois, trained at University of New Mexico School of Medicine (class of 2007). Medicare paid $29,050 for services to 43 patients in 2024.
Overview
| NPI | 1275712812 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Oct 31, 2007 |
| Last updated in NPPES | Jan 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 3435 | NM |
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 Practitioner - Physical Therapist in Private Practice (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 43 |
|---|---|
| Services billed | 1,546 across 10 procedure codes |
| Paid by Medicare | $29,050 |
Education and affiliations
| Medical school | University of New Mexico School of Medicine |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Active Solutions Therapy Serv IncEdgewood, NM · 9 clinicians
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All 130 physical therapists in Bolingbrook · All physical therapists in Illinois