Andrew Wiseman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26967 Issued in MD

Practice address

18221 Village Center Dr
Olney, MD 20832-1416

Phone

(301) 798-7031

Fax

(301) 917-9079

NPI assigned

Aug 22, 2017

Last updated

Apr 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Indiana University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Physical Therapy, Inc.Group PAC ID 0042223703, 5 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Physical Therapy Inc

  • Orthopedic Physical Therapist
  • San Diego, CA
  • NPI 1821047580
  Medicare reassignment Care Compare group
• Maryland Sportscare & Rehab LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1518951995
  NPD
• Maryland Sportscare & Rehab, LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1720445174
  NPD
• Newgen Aesthetics & Wellness, LLC

  dba Newgen Home Health Agency

  • Home Health Agency
  • Tamuning, GU
  • NPI 1417623380

  Physical Therapist

  NPD
• Newgen Aesthetics & Wellness, LLC

  dba NewGen Physical Therapy

  • Physical Therapy Clinic/Center
  • Mangilao, GU
  • NPI 1467908673

  Physical Therapist

  NPD
• Professional Sportscare & Rehab, LLC

  dba Pivot Physical Therapy of Metro DC

  • Clinic/Center
  • Winchester, VA
  • NPI 1033142294

  Physical Therapist

  NPD

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1184140097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18221 VILLAGE CENTER DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321416",
            "telephone_number": "301-798-7031",
            "fax_number": "301-917-9079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "962 Wayne Ave Ste L-D",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104433",
            "country_code": "US",
            "telephone_number": "301-650-0036",
            "fax_number": "301-650-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012573A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revlon Williams, MS
• Lauren Wilson, M.S., CCC-SLP
• Winter Growth Inc
• Winter Growth, Inc.
• Jon Winter, M.A.
• Marisa Witkin, PHARMD, RPH
• Elizabeth Delahay Wojno, CRNA
• Brittany A Wolfish, LCPC
• Yosef Wondwossen
• Susanne T Woodlan, M.D.

• Physical Therapist in Olney, MD
• Providers in Olney, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.