Scott Allan Wise

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008218L Issued in PA

Practice address

121 Cranberry Rd
Grove City, PA 16127-4629

Phone

(724) 458-9473

Fax

(724) 458-1626

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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 PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wise Physical Therapy and Sports Medicine LLCGroup PAC ID 3274787122, 12 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.

• Wise Physical Therapy and Sports Medicine LLC

  • Physical Therapist
  • Grove City, PA
  • NPI 1558488007
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1336155365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ROSEWOOD LN",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274550",
            "telephone_number": "724-458-9473",
            "fax_number": "724-458-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CRANBERRY RD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274629",
            "telephone_number": "724-458-9473",
            "fax_number": "724-458-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "SCOTT",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008218L",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "PA",
            "license": "PT008218L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wigton Eye Care Associates,Inc
• Megan Rose Wiley, OT/L
• Kelly Marie Williamson, RN
• Wise Physical Therapy and Sports Medicine LLC
• Melinda Wise
• Wolf Creek Medical Associates
• Harold Martin Wrigley, MD
• Donald Harold Wykoff, EDD
• Yih-Songko, MD, P.C.
• George Michael Yute, P.T.

• Physical Therapist in Grove City, PA
• Providers in Grove City, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; 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.