Jill Renee Wing, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01384000 Issued in NJ

Practice address

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928

Phone

(908) 331-5858

NPI assigned

Jan 14, 2022

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1275284911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SAILER ST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162547",
            "telephone_number": "201-892-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROBERT WOOD JOHNSON PL",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011928",
            "telephone_number": "908-331-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "JILL",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01384000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenequa Williams
• Mary Katherine Willing
• Sarah Ashley Wilson, MD
• Sunil J Wimalawansa, MD PHD MBA
• Kristen Alice Wimmer, LSW
• Susan Winning, PT
• Nicole Winterhalter
• Julie Wise, M.D.
• Susannah S Wise, MD
• Gina Marie Wodarczyk, MD

• Physical Therapist in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.