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Deactivated NPI 1902995459 Deactivated / Inactive NPI Male Practitioner

Michael Wilson

Physical Therapy Assistant • San Bruno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2006
NPI Deactivation Date August 03, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Michael Wilson was a registered Physical Therapy Assistant practicing in San Bruno, CA. Throughout an active medical career spanning 14 years, Michael Wilson provided care at the practice location at 1001 SNEATH LN STE 210 until profile deactivation on 2020-08-03.

Practice Location & Contact Primary Location

Practice Address

1001 Sneath Ln Ste 210

San Bruno, CA 940662349

Telephone 6508718645
Fax 6508718900
Associated Practice Facility / Clinic
🏢 Kinetx Rehab Facility NPI 1437248960

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in San Bruno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.9 Yrs
Regional Practice Density
5 Specialists

Practicing in San Bruno, CA (3593 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License CA AT3394

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Keith Sullivan , DPT

Physical Therapist - Orthopedic

NPI 1164823738

Doctor of Physical Therapy

Karen Meyer

Physical Therapist

NPI 1679662118

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 03, 2020

Record deactivated on August 03, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1001 SNEATH LN STE 210, SAN BRUNO, CA 940662349 (Tel: 6508718645)

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Updated Business Mailing Address July 08, 2007

Registered at 1001 SNEATH LN STE 210, SAN BRUNO, CA 940662349 (Tel: 6508718645)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL WILSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physical Therapy Assistant (License #AT3394 in CA)

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Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902995459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 08, 2007
Deactivation Date: August 03, 2020

Mailing Address

1001 Sneath Ln Ste 210

San Bruno, CA 940662349

Phone: 6508718645

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.