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

Mr. Tom R Willemann, PT, OCS, MS

Individual provider Specialist · NPI 1417090697

Mr. Tom R Willemann, PT, OCS, MS is a Physical Therapist in Private Practice in Wyckoff, New Jersey. Qualified in 1997, 29 years ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
29
Licensed in
NJ
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

541 Cedar Hill Ave
Wyckoff, NJ 07481-2133
Phone: (201) 251-2422
Fax: (201) 857-0365
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence QA 007709 (NJ)

Record details

NPI number1417090697
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , OCS , MS
Sole proprietorYes
NPI enumeratedFebruary 15, 2007
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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