Christian Douglas Wiese

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

014476 Issued in AZ

Practice address

4730 E Lone Mountain Rd Ste 114
Cave Creek, AZ 85331-5539

Phone

(480) 272-7140

NPI assigned

May 5, 2022

Last updated

May 5, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Giardina Sportsmedicine Consultants, Inc.

  dba Total Sports Therapy

  • Physical Therapy Clinic/Center
  • Cave Creek, AZ
  • NPI 1013125483
  NPD

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1225774045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 E MEADOW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329324",
            "telephone_number": "602-818-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 E LONE MOUNTAIN RD STE 114",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315539",
            "telephone_number": "480-272-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "CHRISTIAN",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "014476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Webb, M.S., CCC-SLP
• Nanci Elizabeth Wechsler, M.A,, OTR/L
• Janet M Weir
• Well Adjusted Incorporated (Healthy Images)
• Anne Marie Wendt, FNP-C
• Enoch Wiesner, DMD
• Justin W Wight, M.D.
• Carmen Wilkinson, CNS
• John Robert Willcockson, M.D.
• Christopher Steven Williams, D.C.

• Physical Therapy Assistant in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.