Bertha Gabriela Willems, DR. P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027666-1 Issued in NY

Practice address

175 W Merrick Rd
Freeport, NY 11520-3712

Phone

(516) 379-7550

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Garden City Physical Medicine and Rehabilitation, PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Mineola, NY
  • NPI 1700932944
  NPD (past)
• Motion Care Physical Therapy

  • Physical Therapist
  • Freeport, NY
  • NPI 1104507094
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164569521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLINTON AVE APT 3J",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012854",
            "telephone_number": "516-726-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203712",
            "telephone_number": "516-379-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEMS",
        "first_name": "BERTHA",
        "middle_name": "GABRIELA",
        "credential": "DR. P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027666-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauli C Wertheim, BS IN OT
• Western Nassau Diagnostic Imaging Services P.C.
• Wheels to Wellness
• Joan Emelia White, RN
• Shirley White, MSW
• Julianna L Williams
• Lisa Carmella Williams, ANP
• Malikah Williams, SLP
• Joseph F Wing
• Chelsea Wingfield

• Physical Therapist in Freeport, NY
• Providers in Freeport, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.