Kim Rosalie Christie-Wise, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5298 Issued in CA

Practice address

809 Fremont Ave
Los Altos, CA 94024-5617

Phone

(650) 941-5255

NPI assigned

Nov 20, 2023

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1336914225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 FREMONT AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245617",
            "telephone_number": "650-941-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 FREMONT AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245617",
            "telephone_number": "650-941-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE-WISE",
        "first_name": "KIM",
        "middle_name": "ROSALIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "5298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yifen Ariel Chou, MT-BC, MME
• Holly W Chow, PA-C
• Lawrence L Choy, M.D.
• Martin Frank Choy, M.D.
• Nancy Nganling Choy
• Audrey Chu, OD
• Belsten Chua
• Ashley Marie Chwastyk, AU.D.
• Ciara V Johnson MD Inc.
• Deborah Wilson Clark, AU.D.

• Physical Therapy Assistant in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.