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

Kristopher Wilson

Individual provider Physical Therapist · NPI 1891210787

Kristopher Wilson is a Physical Therapist in Port Orange, Florida. Licensed in Massachusetts. Registered with an NPI since 2017.

Licensed in
MA
In the registry since
2017

Practice location Address checks out

5535 S Williamson Blvd Ste 774
Port Orange, FL 32128-8321
Phone: (888) 265-2680
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 23220 (MA)

Record details

NPI number1891210787
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2017
Last updated in NPPESAugust 11, 2017

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