Kevin William Wild, DPT
NPI 1710431424ActiveIndividual· Physical Therapist· Novato, CA
Physical Therapist (DPT) with California Rehabilitation and Sports Therapy A California Physical the and 1 other group, practicing in Novato, California. Medicare paid $72,540 for services to 174 patients in 2024.
Overview
| NPI | 1710431424 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Aug 10, 2016 |
| Last updated in NPPES | Aug 10, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT291755 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 174 |
|---|---|
| Services billed | 3,353 across 12 procedure codes |
| Paid by Medicare | $72,540 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- California Rehabilitation and Sports Therapy A California Physical theMission Viejo, CA · 188 clinicians
- Grove Andersen Ghiringhelli Physical Therapy A Professional CoVallejo, CA · 8 clinicians
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All 36 physical therapists in Novato · All physical therapists in California