Wylde Physical Therapy, LLC
NPI 1740406123 · Orthopedic Physical Therapist · Waterman, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wylde Physical Therapy, LLC is a Orthopedic Physical Therapist organization in Waterman, IL (NPI 1740406123).
Provider details
- NPI number
- 1740406123
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michele Wylde, Owner/Physical Therapist(815) 264-8600
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Allopathic & Osteopathic Physicians
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 125 N Cedar St.Waterman, IL 60556-0098Phone: (815) 264-8600Fax: (331) 431-5462
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2025-07-14
- Certified
- 2025-07-01
Frequently asked questions
- What is Wylde Physical Therapy, LLC's NPI number?
- Wylde Physical Therapy, LLC's National Provider Identifier (NPI) is 1740406123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wylde Physical Therapy, LLC?
- Wylde Physical Therapy, LLC is classified in the NPPES registry as Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Wylde Physical Therapy, LLC located?
- Wylde Physical Therapy, LLC's practice location on file with NPPES is 320 W Adams St, Waterman, IL 60556-4000.
- What is Wylde Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wylde Physical Therapy, LLC is (815) 264-8600.
- Does Wylde Physical Therapy, LLC accept Medicare?
- Wylde Physical Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wylde Physical Therapy, LLC?
- The authorized official listed on Wylde Physical Therapy, LLC's NPPES record is Michele Wylde, Owner/Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wylde Physical Therapy, LLC's NPI active?
- Yes — Wylde Physical Therapy, LLC's NPI (1740406123) is active in the NPPES registry as of the last update on 2025-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.