Wilderman and Associates Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006145L Issued in PA

Legal business name

WILDERMAN AND ASSOCIATES PHYSICAL THERAPY, PC

Practice address

73 E Forrest Ave
Suite 210
Shrewsbury, PA 17361-1400

Phone

(717) 235-1100

Fax

(717) 235-1105

NPI assigned

Jul 23, 2009

Last updated

Jul 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Anthony Wilderman, MS, PT, DPT

Title

President

Phone

(717) 235-1100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1871723924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 E FORREST AVE",
            "address_2": "SUITE 210",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611400",
            "telephone_number": "717-235-1100",
            "fax_number": "717-235-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 E FORREST AVE",
            "address_2": "SUITE 210",
            "city": "SHREWSBURY",
            "state": "PA",
            "postal_code": "173611400",
            "telephone_number": "717-235-1100",
            "fax_number": "717-235-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDERMAN AND ASSOCIATES PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "WILDERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-235-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006145L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Giovanni White
• Joshua Nicholas Willey, DPT
• Abriana Williams, DPT
• Alice Williams, PHARMD, BCPS
• Jennifer Angela Williams, CRNP
• Scott Douglas Williams, DC

• Physical Therapist in Shrewsbury, PA
• Providers in Shrewsbury, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.