Active NPIIndividual providerSole proprietor

Mr. Tom R Willemann, PT, OCS, MS

Specialist in Wyckoff, New Jersey

NPI Number1417090697
Practice location
541 Cedar Hill Ave, Wyckoff, NJ 07481-2133
Fax
201-857-0365
Last updated
April 4, 2023

Tom R Willemann is a Specialist based in Wyckoff, NJ. Tom R Willemann practices in Wyckoff, NJ and has the professional credentials of PT, OCS, MS. The NPI Number for Tom R Willemann is 1417090697 and holds a License No. QA 007709 (NJ). The current practice location address for Tom R Willemann is 541 Cedar Hill Ave, Wyckoff, NJ 07481-2133 and can be reached out via phone at 201-251-2422 and via fax at 201-857-0365.

Provider Profile Details

NPI Number
1417090697
Provider Name
Tom R Willemann
Credential
PT, OCS, MS
Provider Entity Type
Individual
Gender
Male
Address
541 Cedar Hill Ave, Wyckoff, NJ 07481-2133
Phone Number
201-251-2422
Fax Number
201-857-0365
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
February 15, 2007
Last Update Date
April 4, 2023
Certification Date
April 4, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
541 Cedar Hill Ave
Wyckoff, NJ 07481-2133
Zip
07481-2133
Phone Number
201-251-2422
Fax Number
201-857-0365
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
541 Cedar Hill Ave
Wyckoff, NJ 07481-2133
City
Wyckoff
State
NJ
Zip
07481-2133
Phone Number
201-251-2422
Fax Number
201-857-0365

License Information

License Number
QA 007709
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mr. Tom R Willemann, PT, OCS, MS?

The NPI number of Mr. Tom R Willemann, PT, OCS, MS is 1417090697. It was assigned on February 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Tom R Willemann, PT, OCS, MS?

Mr. Tom R Willemann, PT, OCS, MS is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number QA 007709.

Where does Mr. Tom R Willemann, PT, OCS, MS practice?

The practice location is 541 Cedar Hill Ave, Wyckoff, NJ 07481-2133. The office can be reached at 201-251-2422 (phone) or 201-857-0365 (fax).

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 1417090697 directly on the NPPES registry website.

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