NPI age
19 years
Enumerated 2006-07-27
● Active
Type 1 · Individual
Kathleen Johnson Wesolowski, P.T.
Wesolowski is 1 of 66 physical therapist providers in Eagle and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
CA, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2006 active physical therapist providers in Idaho.
NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
2 states
Top 91% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
450 W State St Ste 270
Eagle, ID 836166974
Mailing address
1832 N Bello Sara Way
Eagle, ID 836166989
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
-
Physical TherapistA 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PT-9207 | STATE LICENSE |
| 01 (CA) | PT15209 | STATE LICENSE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new physical therapist providers have been added in Eagle in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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