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

Edwina Gautam Wilson

Individual provider Physical Therapist · NPI 1528739349

Edwina Gautam Wilson is a Physical Therapist in Private Practice in Bronx, New York. Qualified in 2021, 5 years ago. Practices with Rb Physical and Occupational Therapy, PLLC, a 312-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3163 Bainbridge Ave
Bronx, NY 10467-3907
Phone: (914) 234-8543
Fax: (914) 294-0079
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 047589 (NY)

Record details

NPI number1528739349
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2021
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Rb Physical And Occupational Therapy, Pllc — 312 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bronx