NPI
Wylde Physical Therapy, LLC
NPI 1740406123
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-04-17
- Last updated
- 2025-07-14
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Specialties
Licenses
- License IL
- 070006362
Location
- Practice location
- 320 W Adams St
- City
- Waterman IL
- Postal code
- 60556-4000
- Phone
- (815) 264-8600
Organization contact
- Name
- Michele Wylde
- Title
- Owner/Physical Therapist
- Phone
- (815) 264-8600
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Waterman, IL. 18 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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