Individual provider Active NPI

Victoria Vilma Neuberger Wyder, P.T.

  • Physical Rehabilitation Occupational Therapist
  • Jupiter, FL
National Provider Identifier
1801636436
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
PT21284 Issued in FL
Practice address
250 Bears Club Drive
Jupiter, FL 33477
Phone
(908) 296-0655
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X PT21284 FL Primary

Addresses

Primary practice location

250 Bears Club Drive
Jupiter, FL 33477

Mailing address

250 Bears Club Drive
Jupiter, FL 33477
Phone (908) 296-0655

Other names 1

  • Ms. Victoria Vilma Neuberger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT21284FLMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1801636436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BEARS CLUB DRIVE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33477",
            "telephone_number": "908-296-0655",
            "fax_number": "561-626-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BEARS CLUB DRIVE",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33477",
            "telephone_number": "908-296-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYDER",
        "first_name": "VICTORIA",
        "middle_name": "VILMA NEUBERGER",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "PT21284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "NEUBERGER",
            "middle_name": "VILMA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.