WYLDE PHYSICAL THERAPY, LLC
WYLDE PHYSICAL THERAPY, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1740406123, based in Waterman, IL. The organization lists 3 taxonomy classifications, with Orthopedic Physical Therapist recorded as primary.
Getting there
The practice address on file is 320 W ADAMS ST, Waterman, IL 60556. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 070006362 | IL | Orthopedic Physical Therapist primary |
This provider holds licence 070006362 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0941257760
- Enrollment ID
- O20050405000050
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Orthopedic covers
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. NUCC Health Care Provider Taxonomy, code 2251X0800X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2251X0800X | Orthopedic Physical Therapist Orthopedic | 070006362 | IL | primary |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | |
| 261QP2000X | Physical Therapy Clinic/Center Physical Therapy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1740406123 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 17, 2007 |
| Last updated | Jul 14, 2025 |
| Status | Active |
| Practice address |
320 W ADAMS ST Waterman, IL 60556 (815) 264-8600 Fax (331) 431-5462 |
| Mailing address |
PO BOX 98 Waterman, IL 60556 |
| Other identifiers |
1932047
· Other (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 4 | 0 | 4 | 0 | 6 | 1 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 8 | 0 | 8 | 0 | 3 | 1 | 4 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.