Active NPI
Zachary David Wiskow
- Physical Therapist
- Wilmington, NC
National Provider Identifier
1013709591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P24066
- Practice address
- 6019 Oleander Dr Ste 200
Wilmington, NC 28403-4813 - Phone
- (919) 790-9714
- Fax
- (910) 791-1063
- NPI assigned
- May 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P24066 | NC | Primary |
Addresses
Primary practice location
6019 Oleander Dr Ste 200
Wilmington, NC 28403-4813
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255
Other practice location 1
1321 E Sunset Dr
Monroe, NC 28112-4324
Phone (704) 248-6974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P24066 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Emergeortho PA | Physical Therapist | Current | Accepting new patients |
| American Chiropractic Center, Inc. | Past | Accepting new patients |
Locations
6019 Oleander Dr
Ste 200
Wilmington, NC 28403
Phone (910) 790-9714
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
-
- Chiropractor
- Scottsdale, AZ
- NPI 1326005612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1013709591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5105",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155100",
"telephone_number": "919-220-5255",
"fax_number": "919-220-6971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 OLEANDER DR STE 200",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034813",
"telephone_number": "919-790-9714",
"fax_number": "910-791-1063"
}
],
"practiceLocations": [
{
"address_1": "1321 E Sunset Dr",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "281124324",
"country_code": "US",
"telephone_number": "704-248-6974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISKOW",
"first_name": "ZACHARY",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-20",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P24066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.