Organization Active NPI

JW Medical Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Pittsburgh, PA
National Provider Identifier
1205214590
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD048961L Issued in PA
Legal business name
JW MEDICAL REHABILITATION LLC
Practice address
1703 Swanson LN
Pittsburgh, PA 15241-2732
Phone
(412) 833-5897
NPI assigned
May 7, 2015
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Julia Wilcox, M.D.NPI 1780682872
Title
Owner/Physician
Phone
(412) 833-5897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD048961L PA Primary

Addresses

Primary practice location

1703 Swanson LN
Pittsburgh, PA 15241-2732

Mailing address

1703 Swanson LN
Pittsburgh, PA 15241-2732
Phone (412) 833-5897

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150819007843 PA Part B Supplier - Clinic/Group Practice 0143535161 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA; Washington, PA; Monongahela, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1205214590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 SWANSON LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152412732",
            "telephone_number": "412-833-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 SWANSON LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152412732",
            "telephone_number": "412-833-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW MEDICAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "412-833-5897",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD048961L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.