Wilmington Physical Medicine and Rehabilitation, Inc.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

WILMINGTON PHYSICAL MEDICINE AND REHABILITATION, INC.

Practice address

104 Sleepy Hollow Dr Ste 205
Middletown, DE 19709-5842

Phone

(215) 486-1800

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Sharon Kristoff

Title

Office Manager

Phone

(215) 657-9393

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1609334762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LOUIS DR STE 202",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742847",
            "telephone_number": "215-957-5400",
            "fax_number": "215-957-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SLEEPY HOLLOW DR STE 205",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095842",
            "telephone_number": "215-486-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON PHYSICAL MEDICINE AND REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "KRISTOFF",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-657-9393"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2788078",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Wilkie
• Atlanta Enjoli Williams, RN
• Devon Lamont Williams
• Jennifer Williams
• Terri Shane Willis, LPAT
• Dejanelle Wilson
• Domonique L Wisher
• Withinyourreach LLC
• Joan Witte, PHARMD
• Amy Kathryn Wolf, RN BSN CPN

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Middletown, DE
• Providers in Middletown, DE by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Delaware

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