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WILSON PHYSICAL MEDICINE LLC
NPI 1710273503
Chiropractor - Rehabilitation in Red Bank, NJ

Active since June 21, 2011
130 MAPLE AVE, SUITE 7A, RED BANK, NJ 07701(732) 842-7004 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilson Physical Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILSON PHYSICAL MEDICINE LLC (NPI 1710273503) is a healthcare organization registered as a rehabilitation in Red Bank, New Jersey and active in the NPI registry since June 2011. The organization lists Pamela Eileen Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1710273503
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NameWILSON PHYSICAL MEDICINE LLC
Location Address130 MAPLE AVE, SUITE 7ARed Bank, NJ 07701-1734
Mailing Address130 Maple Ave, Suite 7aRed Bank, NJ 07701-1734 · (732) 842-7004
Phone(732) 842-7004
Organization SubpartNo
Authorized OfficialPamela Eileen WilsonOwner · (732) 842-7004
Enumeration DateJune 21, 2011
Last NPPES UpdateNovember 9, 2011
✔ NPI 1710273503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in NJ · 38MC00385100
Definition
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.
Also ListedSpecialistTaxonomy 174400000X · License 40QA01025400 (NJ)
130 MAPLE AVE, Red Bank, NJ 07701
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Other Identifiers 3

Medicare UPINU24383NJ
Medicare PIN697608NJ
Other1033232830NJ · Npi Entity 1 Individual Provider #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAMELA EILEEN WILSON D.C.
Chiropractor (Rehabilitation)
130 MAPLE AVE, SUITE 7A
RED BANK, NJ 07701
Monmouth County (732) 842-7004
NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Podiatrist (Foot & Ankle Surgery)
130 MAPLE AVE, STE. 3B
RED BANK, NJ 07701
Monmouth County (732) 747-2111
DR. PHILIP V ILARIA M.D.
Psychiatry & Neurology (Neurology)
130 MAPLE AVE
RED BANK, NJ 07701
Monmouth County (732) 741-1378
PEAK PAIN MANAGEMENT & WELLNESS CENTER
Anesthesiology
130 MAPLE AVE, UNIT 2A
RED BANK, NJ 07701
Monmouth County (973) 747-4000
DR. SCHUBER C FAN M.D.
Psychiatry & Neurology (Neurology)
130 MAPLE AVE, SUITE 1A
RED BANK, NJ 07701
Monmouth County (732) 741-1378
JENNIFER A BOZARTH LCSW
Social Worker (Clinical)
130 MAPLE AVE, SUITE 5C
RED BANK, NJ 07701
Monmouth County (732) 927-3426
MS. MIJEE SHIN M.S. LMFT
Marriage & Family Therapist
130 MAPLE AVE, SUITE 5C
RED BANK, NJ 07701
Monmouth County (732) 219-0100
DR. ADRIANE GULLOTTA-GSELL PH.D.
Psychologist
130 MAPLE AVE, SUITE 5B
RED BANK, NJ 07701
Monmouth County (732) 741-3077

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilson Physical Medicine LLC's NPI number?

The NPI number for Wilson Physical Medicine LLC is 1710273503. It was assigned to this organization in the NPPES registry on June 21, 2011.

Where is Wilson Physical Medicine LLC located?

Wilson Physical Medicine LLC is located at 130 Maple Ave Suite 7A, Red Bank, NJ 07701. The listed phone number is (732) 842-7004.

What is Wilson Physical Medicine LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

When was this NPI record last updated?

The NPPES record for Wilson Physical Medicine LLC was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.