Tayler Marie Wiseman

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605703 Issued in VA

Practice address

300 Pell Ave
Rocky Mount, VA 24151-1134

Phone

(540) 484-1456

NPI assigned

Dec 13, 2021

Last updated

Dec 13, 2021By 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

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": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1346909884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 TEEL BROOKE RD",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241514000",
            "telephone_number": "540-598-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PELL AVE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511134",
            "telephone_number": "540-484-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "TAYLER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Elaine Whorley
• Savannah Arlene Wilber, BCBA, LBA
• Adam Donald Williams, LPC
• Elizabeth Wingfield, PA-C
• Karen A. Winstead, CNM, MSN
• Lorrie Anne Witcher, CMT
• Brianna Woods
• Priscilla Woodson
• Erin Mackenzie Wray
• Lisa Milton Wray

• Physical Therapy Assistant in Rocky Mount, VA
• Providers in Rocky Mount, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.