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

Omar Wilson

Individual provider Physical Therapy Assistant · NPI 1871281089

Omar Wilson is a Physical Therapy Assistant in Lyndhurst, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2023

Practice location Address checks out

70 Ridge Rd
Lyndhurst, NJ 07071-1216
Phone: (201) 992-0183
Fax: (201) 984-4429
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00280300 (NJ)

Record details

NPI number1871281089
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 26, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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