Pediatric Therapy Practitioners, PA

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA00333800 Issued in NJ

Legal business name

PEDIATRIC THERAPY PRACTITIONERS, PA

Practice address

187 Millburn Ave
Suite 110
Millburn, NJ 07041-1847

Phone

(973) 467-7976

NPI assigned

Jan 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Maureen Broderick Wilhelm, DPT

Title

Owner/Physical Therapist

Phone

(973) 467-7976

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1578834263",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY PRACTITIONERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "BRODERICK",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "973-467-7976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00333800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mili Patel
• Sweta B. Patel, DPT
• Patrawalla M.D. P.a.
• Peace and Wellness Therapy Services LLC
• Pediatric Eden L.L.C.
• Lawrence J Pemberton, PT, DPT
• Julianna Pennucci
• Periodontics Center
• Kara L Perkins, DPT
• Susan Petri, APN CRNA RN

• Physical Therapy Clinic/Center in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.