RENA WILSON LMT – NPI #1366065823
Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

RENA WILSON is a physician located in ALPHARETTA, UNITED STATES. NPPES has assigned the NPI number 1366065823 to RENA WILSON on May 19, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 204C00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine, Sports Medicine.

The NPI profile was previously updated about 4 years ago on Oct 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RENA WILSON below.

NPI Profile for
RENA WILSON

NPI Number
1366065823
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
RENA WILSON
Credentials
LMT
Primary location
3442 FRANCIS ROAD SUITE 130
ALPHARETTA, UNITED STATES 30004
Phone: (770) 363-3193 Fax:
Mailing address
3442 FRANCIS RD STE 130
ALPHARETTA, GA 30004-5932
Phone: (770) 363-3193 Fax:
Sole Proprietor
Yes
Updated
Certification Date
May 19, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204C00000X
- Neuromusculoskeletal Medicine, Sports Medicine (Primary)
GA MT003693

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Other URL
Endpoint Description
BUSINESS WEBSITE
Content Type
OTHER
Affiliation
N
Endpoint Location
3442 FRANCIS RD STE 130,
ALPHARETTA, GA 77025-1669