IndividualActive
Tina Wilson, LMT, CLT
NPI 1417262205 · Mechanotherapist · Newberry, FL
Tina Wilson, LMT, CLT is a Mechanotherapist provider in Newberry, FL (NPI 1417262205).
Provider details
- NPI number
- 1417262205
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- LMT, CLT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA31099 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
15019 Nw 5th Ave
Newberry, FL 32669-2828
Phone: (352) 494-4372
Street-level locationGet directions
Mailing address
15019 Nw 5th Ave
Newberry, FL 32669-2828
Registry dates
- Enumerated
- 2010-08-17
- Last updated
- 2010-08-17
Frequently asked questions
- What is Tina Wilson's NPI number?
- Tina Wilson's National Provider Identifier (NPI) is 1417262205, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tina Wilson's specialty?
- Tina Wilson is listed in the NPPES registry with a primary specialty of Mechanotherapist (Other Service Providers).
- Where is Tina Wilson located?
- Tina Wilson's practice location on file with NPPES is 15019 Nw 5th Ave, Newberry, FL 32669-2828.
- What is Tina Wilson's phone number?
- The practice phone number listed in the NPPES registry for Tina Wilson is (352) 494-4372.
- Is Tina Wilson's NPI active?
- Yes — Tina Wilson's NPI (1417262205) is active in the NPPES registry as of the last update on 2010-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.