Maureen Broderick Wilhelm, LPT, PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00333800 Issued in NJ

Legal business name

MAUREEN BRODERICK WILHELM, LPT, PA

Doing business as

Sports Training Physical Therapy

Practice address

187 Millburn Ave
Suite 110
Millburn, NJ 07041-1847

Phone

(973) 467-7976

Fax

(973) 467-7971

NPI assigned

Jun 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maureen Broderick Wilhelm, PTNPI 1679519466

Title

Owner

Phone

(973) 467-7976

Specialties & licenses 1

Addresses

Other names 1

• Sports Training Physical Therapy Doing business as

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.

• Maureen B Wilhelm, PT

  • Physical Therapist
  • Millburn, NJ
  • NPI 1679519466
  NPD (past) Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487682597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVE",
            "address_2": "SUITE 110",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411847",
            "telephone_number": "973-467-7976",
            "fax_number": "973-467-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVE",
            "address_2": "SUITE 110",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411847",
            "telephone_number": "973-467-7976",
            "fax_number": "973-467-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN BRODERICK WILHELM, LPT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "BRODERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-467-7976",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00333800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Training Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Manicone
• Mark Jonathan Mann, MD
• Maplewood Foot and Ankle
• Marian Medical Clinic PC
• Maureen Broderick Wilhelm LPT PA (Sports Training Physical Therapy)
• Gail Holly Mautner, MD
• Frieda L Max, DMD
• Yilda Limary Mayo, M.D.
• Eleonora Mazo, RDCS
• Mary Elizabeth McBride, L.C.S.W.

• Physical Therapist in Millburn, NJ
• Providers in Millburn, 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 Aug 22, 2020; 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.