Active NPI
Pamela Morrison Wiles
- Orthopedic Physical Therapist
- New York, NY
National Provider Identifier
1891961207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 013586-1
- Practice address
- 140 W End Ave
Suite 1K
New York, NY 10023-6131 - Phone
- (212) 362-3022
- NPI assigned
- May 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 013586-1 | NY | Primary |
Addresses
Primary practice location
140 W End Ave
Suite 1K
New York, NY 10023-6131
Mailing address
140 West End Ave
Suite 1K
New York, NY 10023-6131
Phone (212) 362-3022
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013586-1 | NY | MD | Speech-Language Pathologist |
| 013586 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250467200000",
"number": "1891961207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 WEST END AVE",
"address_2": "SUITE 1K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236131",
"telephone_number": "212-362-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W END AVE",
"address_2": "SUITE 1K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236131",
"telephone_number": "212-362-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILES",
"first_name": "PAMELA",
"middle_name": "MORRISON",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2009-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "013586-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.