Individual provider Active NPI

Eric Wilcox, DPT

  • Orthopedic Physical Therapist
  • Bedford, NH
National Provider Identifier
1174219729
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
047103 Issued in NY
Practice address
48 Constitution Dr
Bedford, NH 03110-6096
Phone
(603) 488-5808
NPI assigned
Apr 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 047103 NY Primary

Addresses

Primary practice location

48 Constitution Dr
Bedford, NH 03110-6096

Mailing address

48 Constitution Dr
Bedford, NH 03110-6096
Phone (603) 488-5808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104000050 NH Practitioner - Physical Therapist in Private Practice 6800253949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32 Indian Rock Rd
Unit 5
Windham, NH 03087-1697

Merit-based Incentive Payment System (MIPS)

Final score
83.06 of 100Reported as group
Quality
61.01
Promoting interoperability
100
Improvement activities
40
Cost
82.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5620NHMDMental Health Counselor
047103NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Scaccia Physical Therapy & Sports Conditioning, LLC Orthopedic CurrentSince Sep 29, 2025 Accepting new patients
Wellbridge Physical Therapy, LLC Orthopedic CurrentSince Feb 23, 2025 Accepting new patients
North Fork Physical Therapy PC Orthopedic PastSince Apr 1, 2023 Accepting new patients

Locations

48 Constitution Dr
Bedford, NH 03110
Phone (603) 472-8888

32 Indian Rock Rd
Unit 5
Windham, NH 03087
Phone (603) 890-8541

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1174219729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CONSTITUTION DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106096",
            "telephone_number": "603-488-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CONSTITUTION DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106096",
            "telephone_number": "603-488-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "ERIC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-17",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "047103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.