Wise Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT007644L Issued in PA

Legal business name

WISE PHYSICAL THERAPY LLC

Practice address

15050 Kutztown Rd
Kutztown, PA 19530-9275

Phone

(610) 683-5686

Fax

(610) 683-8773

NPI assigned

Apr 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Christopher H. Wise, PT

Title

President

Phone

(610) 308-8934

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1124385042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NANCY CIR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196068943",
            "telephone_number": "610-308-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15050 KUTZTOWN RD",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309275",
            "telephone_number": "610-683-5686",
            "fax_number": "610-683-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-308-8934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT007644L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50083540",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0716259000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11908776",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "WI20742",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1417034802",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA, HEALTH ASSURANCE",
            "identifier": "422764",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol O Wentz, RN, MASSAGE THERAPIS
• Chaminie Wheeler, D.O.
• Emily Williams, MD
• Lynne Allison Williams, PHD
• Willow Brook Rehabilitation and Healthcare Center LLC
• Christopher H Wise, PT
• Bill Byron Wolfe, DC
• Dominika Wolfe, PHARMD, RPH
• Sara Elizabeth Wright, MSN, CRNP
• Robert Maurice Yoder Jr., D.M.D.

• Physical Therapy Clinic/Center in Kutztown, PA
• Providers in Kutztown, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.