Jackie Wilmoth
NPI 1255679155 · Physical Therapy Assistant · Winston Salem, NC
Jackie Wilmoth is a Physical Therapy Assistant provider in Winston Salem, NC (NPI 1255679155).
Provider details
- NPI number
- 1255679155
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- A4893 (NC)
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
13 yrs 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
- 2013-01-28
- Last updated
- 2013-01-28
Frequently asked questions
- What is Jackie Wilmoth's NPI number?
- Jackie Wilmoth's National Provider Identifier (NPI) is 1255679155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Wilmoth's specialty?
- Jackie Wilmoth is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jackie Wilmoth located?
- Jackie Wilmoth's practice location on file with NPPES is 849 Waterworks Rd, Winston Salem, NC 27101-1956.
- What is Jackie Wilmoth's phone number?
- The practice phone number listed in the NPPES registry for Jackie Wilmoth is (336) 595-2166.
- Is Jackie Wilmoth's NPI active?
- Yes — Jackie Wilmoth's NPI (1255679155) is active in the NPPES registry as of the last update on 2013-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.