Brian Lewis Wike I, PT, DPT, DN

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

9772893-2401 Issued in UT

Practice address

6320 W Union Hills Dr Ste A265
Glendale, AZ 85308-1098

Phone

(623) 374-2424

Fax

(623) 374-2619

NPI assigned

Nov 6, 2017

Last updated

Apr 18, 2025By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Apex Physical Therapy, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1518282474
  NPD (past)
• BHSM Rehabilitation, LLC

  dba Banner Physical Therapy

  • Physical Therapy Clinic/Center
  • Payson, AZ
  • NPI 1497222632
  NPD (past)

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1336652957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE A265",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081098",
            "telephone_number": "623-374-2424",
            "fax_number": "623-374-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE A265",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081098",
            "telephone_number": "623-374-2424",
            "fax_number": "623-374-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKE",
        "first_name": "BRIAN",
        "middle_name": "LEWIS",
        "name_suffix": "I",
        "credential": "PT, DPT, DN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31722",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "9772893-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Widener, M.D.
• Jonathan Wieland, NP
• Erin Wienand, RBT
• Kent Wienzveg, HIS
• Marcellina Wiertek
• Amanda E Wilborn, LCSW
• Donald L. Wilcox, D.D.S. P.C.
• Gavin Duane Wilcox, APRN, FNP-C
• Lacey Wilcox
• Amanda Wild

• Orthopedic Physical Therapist in Glendale, AZ
• Providers in Glendale, 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 Apr 18, 2025; 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.