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

Michelle Wilbourn

Individual provider Physical Therapist · NPI 1578370003

Michelle Wilbourn is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2024, 2 years ago. Practices with Bespoke Treatments Physical Therapy PC, a 23-clinician group.

Years since qualifying
2
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9 E 40th St Fl 12
New York, NY 10016-0402
Phone: (646) 596-7427
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 053739

Record details

NPI number1578370003
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Bespoke Treatments Physical Therapy Pc — 23 clinicians
Accepts Medicare assignment Not indicated

Colleagues at Bespoke Treatments Physical Therapy PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 23 clinicians in the practice; 12 are shown here.

Other providers in New York