Kevin F. Wildes, LPTA,CSCS
NPI 1912241357ActiveIndividual· Physical Therapy Assistant· Canton, GA
Physical Therapy Assistant (LPTA,CSCS) in Canton, Georgia, licensed in GA, with an NPI issued in November 2012.
Overview
| NPI | 1912241357 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPTA,CSCS |
| Sole proprietor | Yes |
| NPI issued | Nov 26, 2012 |
| Last updated in NPPES | Nov 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 1633 | GA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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