Kelly Wisdom, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11614 Issued in AZ

Practice address

63675 E Saddlebrooke Blvd
Suite R
Tucson, AZ 85739-1297

Phone

(520) 825-8002

Fax

(520) 825-8012

NPI assigned

Feb 12, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ridgeview Physical Therapy PLLCGroup PAC ID 8325365547, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.1 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

90.33

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ridgeview Physical Therapy PLLC

  • Physical Therapist
  • Tucson, AZ
  • NPI 1770982589
  Medicare reassignment Care Compare group NPD
• W & W Rehab Services,L.L.C.

  • Physical Therapist
  • Tucson, AZ
  • NPI 1972614089
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1033458930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63675 E SADDLEBROOKE BLVD",
            "address_2": "SUITE R",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857391297",
            "telephone_number": "520-825-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63675 E SADDLEBROOKE BLVD",
            "address_2": "SUITE R",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857391297",
            "telephone_number": "520-825-8002",
            "fax_number": "520-825-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "KELLY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Wirthlin, DO
• Bethany Wirtz, LMT
• Renee Wiruth, DNP
• Robert Lynn Wiruth, D.O.
• Mary Whitney B Wischki, RD
• Kimberly A Wisdom
• Jay C Wise, PHARMD
• Lois E. Wise, MD
• Mathew Leighton Wise, MPT
• Megan Wise, MA BCBA

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.

Verify at the official NPI Registry.