Doctor profile · Federal record

Dr. Kellie Wilson, MPT

Physical Therapist (CMS: Physical Therapist in Private Practice) · Bend, OR

  • NPI 1306982384
  • Accepts Medicare
  • 33 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2115 Ne Wyatt CT Ste 103
Bend, OR 977017679
(541) 382-2070
fax (541) 685-2639
Mailing address
330 Ne Marshall Ave
Bend, OR 977014346

Credentials & registration

NPPES · NUCC
NPI registered
January 2007 — 19 yrs on file
Profile last updated
February 15, 2022
Year of graduation
1993 — 33 yrs since
Specialty taxonomy
225100000X — NUCC code
Medicaid
WA #207626

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1306982384. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
2,275
Distinct HCPCS
4
Medicare allowed
$63,696
HCPCS Description Services Patients Avg allowed
97530 Therapy procedure using functional activities 1,494 65 $29
97140 Therapy procedure using manual technique, each 15 minutes 640 61 $21
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 92 11 $25
97162 Evaluation for physical therapy, typically 30 minutes 49 43 $98

In context: peer comparison

Among 57 peers in this city , average services per provider: 297. This provider delivers 7.7× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kellie Wilson's medical specialty?
Dr. Kellie Wilson practices Physical Therapist in Bend, OR.
Where does Dr. Kellie Wilson practice?
Dr. Kellie Wilson practices at 2115 Ne Wyatt CT Ste 103, Bend, OR 977017679. Office phone: 5413822070.
What is Dr. Kellie Wilson's NPI?
Dr. Kellie Wilson's National Provider Identifier (NPI) is 1306982384, issued by NPPES.
Does Dr. Kellie Wilson accept Medicare assignment?
Yes. Dr. Kellie Wilson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kellie Wilson commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using manual technique (HCPCS 97140); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112). Source: CMS Medicare Physician & Other Practitioners file.