Wilson Physical Medicine & Rehabilitation, P.C

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

A181294 Issued in NY

Legal business name

WILSON PHYSICAL MEDICINE & REHABILITATION, P.C

Doing business as

Access Spine & Sport Care

Practice address

9314 Queens Blvd
Rego Park, NY 11374-1135

Phone

(718) 830-2700

NPI assigned

May 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen A Wilson, M.DNPI 1518001197

Title

Medical Doctor

Phone

(718) 830-2700

Specialties & licenses 1

Addresses

Other names 1

• ACCESS SPINE & SPORT CARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen A Wilson, M.D CPMR

  • Rehabilitation Practitioner
  • Rego Park, NY
  • NPI 1518001197
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134330160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741135",
            "telephone_number": "718-830-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741135",
            "telephone_number": "718-830-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON PHYSICAL MEDICINE & REHABILITATION, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-830-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NY",
            "license": "A181294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCESS SPINE & SPORT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dionne A Williams
• Kiara Ianna Williams, LMHC
• Tihira Janair Williams, SPECIAL ED.TEACHER
• Vanya Samantha Williams
• Wilson Morocho DDS PC (Creative Dental of Queens)
• Sharlene Antonette Wilson
• Stephen A Wilson, M.D CPMR
• Stephanie Winkler
• Darius Winter, M.D.
• Wise Audiology PC

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.