Maryan Wicker, D.P.T
NPI 1053704080 · Physical Therapist · Lyndhurst, NJ
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maryan Wicker, D.P.T is a Physical Therapist provider in Lyndhurst, NJ (NPI 1053704080).
Provider details
- NPI number
- 1053704080
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- D.P.T
- Sex
- Female
- Sole proprietor
- No
- License
- 40QA01602700 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-16
- Last updated
- 2021-04-08
- Certified
- 2021-04-08
Frequently asked questions
- What is Maryan Wicker's NPI number?
- Maryan Wicker's National Provider Identifier (NPI) is 1053704080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maryan Wicker's specialty?
- Maryan Wicker is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Maryan Wicker located?
- Maryan Wicker's practice location on file with NPPES is 626 Ridge Rd, Lyndhurst, NJ 07071-3206.
- What is Maryan Wicker's phone number?
- The practice phone number listed in the NPPES registry for Maryan Wicker is (201) 372-3240.
- Does Maryan Wicker accept Medicare?
- Maryan Wicker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maryan Wicker's NPI active?
- Yes — Maryan Wicker's NPI (1053704080) is active in the NPPES registry as of the last update on 2021-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.