Bruce S Wollman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011151-1 Issued in NY

Practice address

9622 Bustleton Ave
Suite 4
Phila, PA 19115-3100

Phone

(215) 677-8258

Fax

(215) 673-4966

NPI assigned

Aug 20, 2007

Sex

Male

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

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Medical Center of Bustleton PC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1861576753
  NPD (past)
• Pinnacle Physicians Group LLC

  • Family Medicine Physician
  • Trevose, PA
  • NPI 1184984809
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1396938817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9622 BUSTLETON AVE",
            "address_2": "SUITE 4",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191153100",
            "telephone_number": "215-677-8258",
            "fax_number": "215-673-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9622 BUSTLETON AVE",
            "address_2": "SUITE 4",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191153100",
            "telephone_number": "215-677-8258",
            "fax_number": "215-673-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLMAN",
        "first_name": "BRUCE",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011151-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wise Peoples Choice of Pennsylvania, Inc (Wise Peoples Choice)
• Amelia M Withington, M.D.
• Wjo Inc. (South Philly Family Practice and Medical Center)
• WM. J. Dennis MD
• Andrea Woll, MD
• Mary Kathryn Woltjen, CNM CRNP RN
• Zachary William Wolverton, D.C.
• Brian Patrick Womelsdorf, ATC
• Jeniffer K Woo, B.A.
• Deborah Woolf

• Physical Therapist in Phila, PA
• Providers in Phila, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.