Wille Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00586800 Issued in NJ

Legal business name

WILLE PHYSICAL THERAPY LLC

Practice address

514 Lafayette Rd
Sparta, NJ 07871-3494

Phone

(973) 940-0871

Fax

(973) 940-0872

NPI assigned

Feb 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Staci Wille, PT

Title

Owner/President

Phone

(862) 266-0703

Specialties & licenses 1

Addresses

Other names 1

• Heritage Health and Physical Therapy LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Brinkerhoff, DPT

  • Physical Therapist
  • Wayne, NJ
  • NPI 1386365849
  Medicare reassignment Care Compare group NPD
• Staci Pichette, PT

  • Physical Therapist
  • Sparta, NJ
  • NPI 1306993670
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1104199918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 LAFAYETTE RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713494",
            "telephone_number": "973-940-0871",
            "fax_number": "973-940-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 LAFAYETTE RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713494",
            "telephone_number": "973-940-0871",
            "fax_number": "973-940-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "WILLE",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "862-266-0703",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00586800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Health and Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Wells, BSW
• Christine Welzer, LCSW
• Ian Wendel, DO
• Where You Are Counseling, LLC
• Kimberly White
• Courtney Williams
• Susan M Williams, LCSW
• Willow Tree Community
• Willow Tree Therapy Services
• Willowglen Academy - New Jersey. Inc.

• Physical Therapy Clinic/Center in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.