WILSON PHYSICAL MEDICINE LLC (NPI# 1710273503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710273503 |
| Entity Type | Organization |
| Organization Name | WILSON PHYSICAL MEDICINE LLC |
| Practice Address |
130 Maple Ave Suite 7a Red Bank NJ 07701-1734 |
| Practice Telephone | 7328427004 |
| Mailing Telephone | 7328427004 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-11-09 |
| Authorized Official Name | DR. PAMELA EILEEN WILSON (OWNER) |
| Authorized Official Telephone | 7328427004 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 40QA01025400 | NJ | Other Service Providers |
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
38MC00385100 | NJ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NPI ENTITY 1 INDIVIDUAL PROVIDER # | 1033232830 | 01 |
| Street Address |
130 MAPLE AVE SUITE 7A |
| City | RED BANK |
| State | NJ |
| Zip Code | 07701-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245205376 | Schuber C Fan | Psychiatry & Neurology | 130 Maple Ave, Suite 1a, Red Bank, NJ 07701-1734 | 2006-02-22 |
| 1235508607 | Peak Pain Management & Wellness Center | Anesthesiology | 130 Maple Ave, Unit 2a, Red Bank, NJ 07701-1734 | 2015-09-16 |
| 1144658279 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 130 Maple Ave, Ste. 3b, Red Bank, NJ 07701-1734 | 2013-10-29 |
| 1124469572 | Michele M Peters | Dietitian, Registered | 130 Maple Ave, Suite 7a, Red Bank, NJ 07701-1734 | 2013-07-15 |
| 1770856023 | Joanne Stavola Lcsw LLC | Counselor | 130 Maple Ave, Suite 5b, Red Bank, NJ 07701-1734 | 2012-02-17 |
| 1912225616 | Thomas P. Bilella | Nutritionist | 130 Maple Ave, Building 3, Suite 3, Red Bank, NJ 07701-1734 | 2010-05-06 |
| 1659523371 | Mcm Pt Service | Physical Therapist | 130 Maple Ave, Suite 4a, Red Bank, NJ 07701-1734 | 2008-10-13 |
| 1780883249 | Daniel Joseph Tomasulo | Psychologist | 130 Maple Ave, Bldg. 9, Suite 9, Red Bank, NJ 07701-1734 | 2007-07-15 |
| 1144430059 | Peter C. Rutan | Clinical Neuropsychologist | 130 Maple Ave, Suite 3e, Red Bank, NJ 07701-1734 | 2007-05-23 |
| 1376769034 | Adriane Gullotta-gsell | Psychologist | 130 Maple Ave, Suite 5b, Red Bank, NJ 07701-1734 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447801659 | Kelsey M Simonson | Occupational Therapist | 15 Fowler Court, Red Bank, NJ 07701 | 2019-09-28 |
| 1225697816 | Professional Occupational & Physical Therapy, Pllc | Occupational Therapist | 39 East Front Street, Red Bank, NJ 07701 | 2019-06-07 |
| 1164992483 | Christine Elizabeth Fernandez | Social Worker | 1 Corbett Say, Eatontown, NJ 07701 | 2018-11-29 |
| 1346725330 | The Tms Center of New Jersey PC | Psychiatry & Neurology | 55 North Gilbert St, Suite 2203, Tinton Falls, NJ 07701 | 2018-09-26 |
| 1194205187 | Enlightening Counseling & Educational Services, LLC | Social Worker | 331 Newman Springs Rd. Bldg.1, 4th Floor, Suite 143, Red Bank, NJ 07701 | 2018-08-19 |
| 1013405794 | Susan Obrien | Registered Nurse | 270 New Jersey 35, Red Bank, NJ 07701 | 2018-04-27 |
| 1477055952 | Alexandra Gingerelli | Counselor | 48 Reckless Place, Red Bank, NJ 07701 | 2018-03-01 |
| 1841702529 | Felicia Dawn Stoler | Dietitian, Registered | 31 Leroy Place, Red Bank, NJ 07701 | 2017-11-02 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1891225769 | Asha One Pharmacy LLC | Pharmacy | 224 Shrewsbury Avenue, Red Bank, NJ 07701 | 2017-06-14 |
| Find all providers in zip 07701 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| 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. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114546827 | Richard K Lew | Chiropractor | 42 Constitution Ct, Freehold, NJ 07728-4205 | 2020-04-13 |
| 1811521941 | Brian Matfus | Chiropractor | 70 Hudson St Ste 2b, Hoboken, NJ 07030-5618 | 2020-02-27 |
| 1164062717 | Leland Jay Snaider | Chiropractor | 154 Cooper Rd Ste 1601, West Berlin, NJ 08091-9146 | 2020-01-12 |
| 1487217238 | Samuel Prata | Chiropractor | 275 Chestnut St # 169, Newark, NJ 07105-1570 | 2019-04-17 |
| 1164991865 | Delcalzo Spine and Wellness Center | Chiropractor | 75 Nj -17, Hasbrouck Heights, NJ 07604 | 2018-11-26 |
| 1639668650 | Tlb Health Solutions | Chiropractor | 2 Santoro Ct, Branchburg, NJ 08876-5491 | 2018-05-04 |
| 1992161004 | Allcare Pain & Rehab of Newark | Chiropractor | 572 Market St, Newark, NJ 07105-2913 | 2016-01-05 |
| 1528448420 | Strive2move | Chiropractor | 20 Village Green Rd, Bedminster, NJ 07921 | 2015-06-05 |
| 1598142630 | Spine & Sports Medicine of Manchester LLC | Chiropractor | 60 Lacey Rd, Whiting, NJ 08759-2921 | 2015-04-27 |
| 1215327408 | Nj Chiropractic and Physical Therapy Wellness Center LLC | Chiropractor | 3000 John F Kennedy Blvd Ste 316, Jersey City, NJ 07306-3817 | 2015-01-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.