Reginald Burns Wilcox III, PT, DPT, MS, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9990 Issued in MA

Practice address

Brigham and Women'S Hospital
75 Francis Street
Boston, MA 02115

Phone

(508) 718-4615

Fax

(508) 718-4041

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1861578254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ROSENFELD RD",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541120",
            "telephone_number": "508-376-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRIGHAM AND WOMEN'S HOSPITAL",
            "address_2": "75 FRANCIS STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "508-718-4615",
            "fax_number": "508-718-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "REGINALD",
        "middle_name": "BURNS",
        "name_suffix": "III",
        "credential": "PT, DPT, MS, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Curtis Wilbur, MD
• Kaitlyn Wilbur, PSY.D.
• Kelsey Wilchynski, PA-C
• Lorna Wilcox-Gollop, RN
• Douglas Robert Wilcox, MD, PHD
• Thomas Andrew Wilcoxon, MD
• Jackson Wild, CRNA
• Nikolas Sandquist Wilde, PA-C
• Elisabeth J. Wilder, M.D.
• Fatima G Wilder, M.D.

• Physical Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.