Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emma Wilson

Individual provider Physical Therapist · NPI 1063384014

Emma Wilson is a Physical Therapist in Private Practice in Evanston, Illinois. Qualified in 2025, 1 year ago. Practices with Sports and Ortho PC, a 32-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025

Practice location Address checks out

2536 Ewing Ave
Evanston, IL 60201-1214
Phone: (847) 905-0332
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.029535 (IL)

Record details

NPI number1063384014
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2025
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sports And Ortho Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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