Mathew Leighton Wise, MPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

LPT-012155 Issued in AZ

Practice address

1991 E Ajo Way Ste 149
Tucson, AZ 85713-6269

Phone

(520) 325-4002

NPI assigned

Jan 19, 2006

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

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Pittsburgh School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bodycentral Physical Therapy PCGroup PAC ID 2466348701, 43 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 and National Provider Directory roles.

• Bodycentral Physical Therapy P C

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1629057930
  Medicare reassignment Care Compare group NPD
• Bodycentral Physical Therapy PC

  • Customized Equipment (DME)
  • Tucson, AZ
  • NPI 1780899369
  NPD
• Pain Consultants of West Florida

  • Pain Clinic/Center
  • Pensacola, FL
  • NPI 1508445966
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1225018831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 E AJO WAY STE 149",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136269",
            "telephone_number": "520-325-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 E AJO WAY STE 149",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136269",
            "telephone_number": "520-325-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "MATHEW",
        "middle_name": "LEIGHTON",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "LPT-012155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Whitney B Wischki, RD
• Kelly Wisdom, PT, DPT
• Kimberly A Wisdom
• Jay C Wise, PHARMD
• Lois E. Wise, MD
• Megan Wise, MA BCBA
• Milissa Wise, PHARM.D.
• Elizabeth Ann Wiseley, R.D., C.D.E.
• Michael Ralph Wiseley, LMSW
• Lisa M Wispe, PNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.