John M. Wade, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 34891 Issued in CA

Practice address

2803 Medical Campus Dr
Goldsboro, NC 27531-2310

Phone

(929) 722-8463

NPI assigned

Aug 17, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mariners Physical Therapy, Inc.

  • Physical Therapist
  • Santa Ana, CA
  • NPI 1164527305
  NPD (past)

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1124250626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOPE DR",
            "city": "MOUNTAIN HOME AFB",
            "state": "ID",
            "postal_code": "836481057",
            "telephone_number": "208-828-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 MEDICAL CAMPUS DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275312310",
            "telephone_number": "929-722-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JOHN",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 34891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT BOARD OF CA",
            "identifier": "PT 34891",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia W Wolf
• Vital Connections, Inc
• Carolina Milito Vizcarra, DDS
• W. Woodrow Albertson PA
• Marilyn Patricia Waddell, M.ED., CCC/SLP
• Virginia L Wade, CNM
• Wayne Paul Wagner, DC
• Alex Michael Wahl, O.D.
• Sallie Mitchell Wahl, OD PC
• Wake Emergency Physicians PA

• Physical Therapist in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.