Active NPI
Edwin Scott Wills, PT
- Physical Therapist
- Pompton Plains, NJ
National Provider Identifier
1659307494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QAO352800
- Practice address
- 465 Route 23
Pompton Plains, NJ 07444-1814 - Phone
- (973) 513-9055
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QAO352800 | NJ | Primary |
Addresses
Primary practice location
465 Route 23
Pompton Plains, NJ 07444-1814
Mailing address
98 Berkley CT
Wayne, NJ 07470-2446
Phone (973) 389-8248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1479 State Route 23 201
Wayne, NJ 07470-7507
Phone (973) 772-8006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QAO352800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Chilton Sports Medicine & Rehabilitation Management Inc. | Physical Therapist | Past | Accepting new patients |
| Healing Hands Rehab Inc | Past | Accepting new patients | |
| Best Care Medical Supply Co. Inc. | Past | Accepting new patients |
Locations
61 Lakeview Ave
Clifton, NJ 07011
Phone (973) 478-8300
1479 State Route 23
Ste 201
Wayne, NJ 07470
Phone (973) 686-0007
Organizations & group practices 4
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.
-
dba Chilton Sports Medicine & Rehabilitation
- Occupational Therapist
- Pompton Plains, NJ
- NPI 1205971348
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Clifton, NJ
- NPI 1235124686
-
- Hand Occupational Therapist
- Wayne, NJ
- NPI 1881858801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1659307494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 BERKLEY CT",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702446",
"telephone_number": "973-389-8248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 ROUTE 23",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "074441814",
"telephone_number": "973-513-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "EDWIN",
"middle_name": "SCOTT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QAO352800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompton Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.