Tom R. Willemann, PT,OCS,MS
NPI 1417090697ActiveIndividual· Specialist· Wyckoff, NJ
Specialist (PT,OCS,MS) in Wyckoff, New Jersey, licensed in NJ, with an NPI issued in February 2007. Medicare paid $72,060 for services to 56 patients in 2024.
Overview
| NPI | 1417090697 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT,OCS,MS |
| Sole proprietor | Yes |
| NPI issued | Feb 15, 2007 |
| Last updated in NPPES | Apr 4, 2023 |
| Certified by provider | Apr 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | QA 007709 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 56 |
|---|---|
| Services billed | 3,620 across 6 procedure codes |
| Paid by Medicare | $72,060 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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