Healthcare Provider Details

I. General information

NPI: 1225965031
Provider Name (Legal Business Name): VIRGINIA WILHELM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 RED SKELTON CIR
FRANKLIN IN
46131
US

IV. Provider business mailing address

1042 W 77TH STREET NORTH DR
INDIANAPOLIS IN
46260-3310
US

V. Phone/Fax

Practice location:
  • Phone: 317-736-6141
  • Fax:
Mailing address:
  • Phone: 317-478-0270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: