# MICHAEL R WIMBERLY II

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700937950
- **Gender:** Man
- **Credential:** PT,MPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT04879 | LA | Yes |
| 225100000X | Physical Therapist | PT3657 | MS | — |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 10/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04220001 | — | MS |
| 05 | — | 2318781 | — | LA |