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WILSON PHYSICAL MEDICINE LLC NPI 1710273503


NPI Information

NPI: 1710273503
Provider Name: WILSON PHYSICAL MEDICINE LLC
Classification: Chiropractor - 111NR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
130 MAPLE AVE
SUITE 7A
RED BANK, NJ
ZIP 07701
Phone: (732) 842-7004
Get Directions

WILSON PHYSICAL MEDICINE LLC is a rehabilitation chiropractor in Red Bank, NJ. The provider is rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. WILSON PHYSICAL MEDICINE LLC NPI is 1710273503. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

130 MAPLE AVE
SUITE 7A
RED BANK, NJ
ZIP 07701-734
Phone: (732) 842-7004

The provider's authorized official is Pamela Eileen Wilson .
The authorized official title is Owner and has the following contact phone number (732) 842-7004.

The enumeration date for this NPI number is 6/21/2011 and was last updated on 11/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist40QA01025400NEW JERSEYNo
2111NR0400XChiropractorRehabilitation38MC00385100NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U24383MEDICARE UPINNEW JERSEY
2697608MEDICARE PINNEW JERSEY
31033232830OTHERNEW JERSEYNPI ENTITY 1 INDIVIDUAL PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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