Active NPI
Brittany Cynthia Wilbur, PT, DPT
- Physical Therapist
- Bethpage, NY
National Provider Identifier
1861182529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P119810
- Practice address
- 4080 Hempstead Tpke
Bethpage, NY 11714-5604 - Phone
- (516) 862-3358
- Fax
- (516) 862-3359
- NPI assigned
- May 8, 2023
- Sex
- Female
- 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 | P119810 | NY | Primary |
Addresses
Primary practice location
4080 Hempstead Tpke
Bethpage, NY 11714-5604
Mailing address
13 Oakdale Ave
Central Islip, NY 11722-2308
Phone (631) 715-9055
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
| License | State | Type | Specialty |
|---|---|---|---|
| P119810 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1861182529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 OAKDALE AVE",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222308",
"telephone_number": "631-715-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 HEMPSTEAD TPKE",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145604",
"telephone_number": "516-862-3358",
"fax_number": "516-862-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBUR",
"first_name": "BRITTANY",
"middle_name": "CYNTHIA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "P119810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethpage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.