Active NPI
Christopher Wise, ATC
- Athletic Trainer
- Rome, GA
National Provider Identifier
1124130646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001009
- Practice address
- 201 Turner McCall Blvd NW
Rome, GA 30165-2545 - Phone
- (706) 236-2758
- Fax
- (706) 802-1408
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT001009 | GA | Primary |
Addresses
Primary practice location
201 Turner McCall Blvd NW
Rome, GA 30165-2545
Mailing address
PO Box 949
Rome, GA 30162-0949
Phone (706) 236-2758
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 |
|---|---|---|---|
| AT001009 | GA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation and Consulting | Athletic Trainer | Past | Accepting new patients |
| Advance Rehabilitation & Consulting Limited Partnership | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Saint Marys, GA
- NPI 1235434283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1124130646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "ROME",
"state": "GA",
"postal_code": "301620949",
"telephone_number": "706-236-2758",
"fax_number": "706-802-1408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 TURNER MCCALL BLVD NW",
"city": "ROME",
"state": "GA",
"postal_code": "301652545",
"telephone_number": "706-236-2758",
"fax_number": "706-802-1408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "CHRISTOPHER",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT001009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.