Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wilson Physical Medicine LLC

Organization Rehabilitation Chiropractor · NPI 1710273503

Wilson Physical Medicine LLC is a Rehabilitation Chiropractor in Red Bank, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.

Licensed in
NJ
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Maple Ave Ste 7A
Red Bank, NJ 07701-1734
Phone: (732) 842-7004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Chiropractor (primary) Taxonomy 111NR0400X · Licence 38MC00385100 (NJ)
Specialist Taxonomy 174400000X · Licence 40QA01025400 (NJ)

Record details

NPI number1710273503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Wilson — Owner · (732) 842-7004
NPI enumeratedJune 21, 2011
Last updated in NPPESNovember 9, 2011
Mailing address130 Maple Ave, Suite 7a, Red Bank, NJ 07701-1734

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