Wilson Diez, PT, DPT
Physical Therapist in Montclair, New Jersey
1316414923- Practice location
- 15 Bloomfield Ave, Montclair, NJ 07042-4888
- Phone
- 973-744-2770
- Fax
- —
- Last updated
- March 18, 2020
Wilson Diez is a Physical Therapist based in Montclair, NJ. Wilson Diez practices in Montclair, NJ and has the professional credentials of PT, DPT. The NPI Number for Wilson Diez is 1316414923 and holds a License No. 40QA01827700 (NJ). The current practice location address for Wilson Diez is 15 Bloomfield Ave, Montclair, NJ 07042-4888 and can be reached out via phone at 973-744-2770.
Provider Profile Details
- NPI Number
- 1316414923
- Provider Name
- Wilson Diez
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 Bloomfield Ave, Montclair, NJ 07042-4888
- Phone Number
- 973-744-2770
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 1, 2018
- Last Update Date
- March 18, 2020
- Certification Date
- March 18, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Bloomfield Ave
Montclair, NJ 07042-4888 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4888
- Phone Number
- 973-744-2770
Provider Business Mailing Address Details
- Address
- Po Box 5261
Somerset, NJ 08875-5261 - City
- Somerset
- State
- NJ
- Zip
- 08875-5261
- Phone Number
- 732-486-9809
License Information
- License Number
- 40QA01827700
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wilson Diez, PT, DPT?
The NPI number of Wilson Diez, PT, DPT is 1316414923. It was assigned on November 1, 2018 and is currently active in the NPPES registry.
What is the specialty of Wilson Diez, PT, DPT?
Wilson Diez, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01827700.
Where does Wilson Diez, PT, DPT practice?
The practice location is 15 Bloomfield Ave, Montclair, NJ 07042-4888. The office can be reached at 973-744-2770 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316414923 directly on the NPPES registry website.