David Anthony Wilderman, PT DPT MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0002854 Issued in DE

Practice address

1 Centurian Dr
Suite 110
Newark, DE 19713-2137

Phone

(302) 633-5787

Fax

(302) 633-5781

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Wilderman Physical Therapy, LLC

  • Physical Therapist
  • Wilmington, DE
  • NPI 1871022103
  Medicare reassignment NPD Authorized official
• Physiotherapy Associates, Inc.

  • Physical Therapy Clinic/Center
  • Wilmington, DE
  • NPI 1770660250
  Medicare reassignment NPD
• Physiotherapy Associates, Inc.

  • Physical Therapy Clinic/Center
  • Dover, DE
  • NPI 1588905681

  Physical Therapist

  NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD
• Shrewsbury Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Shrewsbury, PA
  • NPI 1073728879
  NPD (past)
• Shrewsbury Physical Therapy LP

  • Physical Therapy Clinic/Center
  • Shrewsbury, PA
  • NPI 1447289145

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1730147232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR",
            "address_2": "SUITE 110",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132137",
            "telephone_number": "302-633-5787",
            "fax_number": "302-633-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR",
            "address_2": "SUITE 110",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132137",
            "telephone_number": "302-633-5787",
            "fax_number": "302-633-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDERMAN",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PT DPT MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006145L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Wiesenberg, PT
• Susan Wiggins
• Nakia Marie Wighton, MD
• Rashmi Wijeratne, MD
• Haley Wikoff, CF-SLP
• Rebecca Buonanno Wildman, PA-C
• Sarah Wile
• Kristin Wilhide, RN, BSN, CPN
• Ryan Cambridge Will
• Jodi Willems, LCPC

• Physical Therapist in Newark, DE
• Providers in Newark, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.

Verify at the official NPI Registry.