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 provides Rehabilitation Chiropractor services 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 Not confirmed with CMS for 14 years — call before visiting
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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