Leslie Wise, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4921 Issued in SC

Practice address

616 Chaucer Dr
Florence, SC 29505-3629

Phone

(843) 697-9245

NPI assigned

Jun 15, 2007

Last updated

Dec 9, 2022By the provider in NPPES

Sex

Female

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 SC, NC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Parkinsons FitnessGroup PAC ID 1557733094, 2 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.

• Thrive Parkinsons Fitness

  • Physical Therapy Clinic/Center
  • Florence, SC
  • NPI 1235848102

  NC, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Impact Therapy, LLC

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1336325984
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1326243999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 CHAUCER DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053629",
            "telephone_number": "843-697-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 CHAUCER DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053629",
            "telephone_number": "843-697-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "LESLIE",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wise Care Services, LLC
• Wise Care Services, LLC
• Wise Mind Consulting, LLC
• Emily Kathleen Wise, RD, LD
• Karianna S. Wise, PTA
• Veronica Wittscheck, LPC
• John Leland Wolford Jr., M.D.
• Cynthia Wood, PTA
• Mary Ellen Wood, RN
• Myeesha Santrell Woodard, PHARM D

• Physical Therapist in Florence, SC
• Providers in Florence, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.