Omar Wilson

Physical Therapy Assistant · Lyndhurst, NJ

Individual Active NPI

NPI number 1871281089

Practice location

70 Ridge Rd
Lyndhurst, NJ 07071-1216
Phone
(201) 992-0183
Fax
(201) 984-4429

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NPI record

NPI
1871281089
Entity type
Individual (Type 1)
Enumeration date
April 26, 2023
Last updated
April 26, 2023
Certified
April 26, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 40QB00280300 NJ

Mailing address

576 Broadhollow Rd
Melville, NY 11747-5002
Phone
(631) 359-5800

About Omar Wilson

Omar Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 70 Ridge Rd, Lyndhurst, NJ 07071-1216. The NPI number 1871281089 was assigned on April 26, 2023 and the record was last updated on April 26, 2023.

Omar Wilson lists a license in the registry: #40QB00280300 (NJ) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Omar Wilson?

The NPI number is 1871281089.

What is the phone number of Omar Wilson?

The phone number listed for the practice location is (201) 992-0183.

Where is Omar Wilson located?

70 Ridge Rd, Lyndhurst, NJ 07071-1216.

What is the taxonomy code for Omar Wilson?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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