Individual
JONATHAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
700 N LAKE AVE STE 102, TWIN LAKES, WI 53181-9436
(262) 877-2124
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14317
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222193
—
WI
Enumeration date
11/15/2022
Last updated
12/05/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us