Wild Physical Therapy and Wellness LLC
NPI 1174360176 · Physical Therapist · Pawtucket, RI
Wild Physical Therapy and Wellness LLC is a Physical Therapist organization in Pawtucket, RI (NPI 1174360176).
Provider details
- NPI number
- 1174360176
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mollye Leas-Medrek, Owner(812) 662-5033
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-09
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Frequently asked questions
- What is Wild Physical Therapy and Wellness LLC's NPI number?
- Wild Physical Therapy and Wellness LLC's National Provider Identifier (NPI) is 1174360176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Physical Therapy and Wellness LLC?
- Wild Physical Therapy and Wellness LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Wild Physical Therapy and Wellness LLC located?
- Wild Physical Therapy and Wellness LLC's practice location on file with NPPES is 545 Pawtucket Ave # Ll04a, Pawtucket, RI 02860-6046.
- What is Wild Physical Therapy and Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Wild Physical Therapy and Wellness LLC is (812) 662-5033.
- Who is the authorized official for Wild Physical Therapy and Wellness LLC?
- The authorized official listed on Wild Physical Therapy and Wellness LLC's NPPES record is Mollye Leas-Medrek, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Physical Therapy and Wellness LLC's NPI active?
- Yes — Wild Physical Therapy and Wellness LLC's NPI (1174360176) is active in the NPPES registry as of the last update on 2024-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.