Active NPI
Chelsie Wise, PTA
- Physical Therapy Assistant
- Chandler, AZ
National Provider Identifier
1013424365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 12616APTA
- Practice address
- 3930 S Alma School Rd Ste 3
Chandler, AZ 85248-4510 - Phone
- (480) 899-9829
- NPI assigned
- Jan 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A03531 | KY | |
| Physical Therapy Assistant | 225200000X | 12616APTA | AZ | Primary |
Addresses
Primary practice location
3930 S Alma School Rd Ste 3
Chandler, AZ 85248-4510
Mailing address
255 E Chandler Heights Rd Apt 5
Chandler, AZ 85249-5600
Phone (480) 529-0835
Other practice location 1
43491 N Coyote Rd
San Tan Valley, AZ 85140-8924
Phone (480) 529-0835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12616APTA | AZ | MD | Physical Therapy Assistant |
| A03531 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1013424365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 E CHANDLER HEIGHTS RD APT 5",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852495600",
"telephone_number": "480-529-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 S ALMA SCHOOL RD STE 3",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852484510",
"telephone_number": "480-899-9829"
}
],
"practiceLocations": [
{
"address_1": "43491 N Coyote Rd",
"address_purpose": "LOCATION",
"city": "San Tan Valley",
"state": "AZ",
"postal_code": "851408924",
"country_code": "US",
"telephone_number": "480-529-0835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISE",
"first_name": "CHELSIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A03531",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "12616APTA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.