Individual provider Active NPI

Denise M Wise, LPT

  • Physical Therapist
  • Clifton, TX
National Provider Identifier
1376185553
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1109668 Issued in TX
Practice address
607 North Avenue G
Clifton, TX 76634-7663
Phone
(254) 675-2554
Fax
(254) 675-4063
NPI assigned
Oct 9, 2019
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1109668 TX Primary

Addresses

Primary practice location

607 North Avenue G
Clifton, TX 76634-7663

Mailing address

7125 New Sanger Ave Ste 502
Waco, TX 76712-4054
Phone (254) 732-5981

Other practice location 1

7125 New Sanger Ave Ste 502
Waco, TX 76712-4054
Phone (254) 732-5981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200226000846 TX Practitioner - Physical Therapist in Private Practice 1254768518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esmpt LLCGroup PAC ID 5698101251, 2 clinicians

Practice addresses (Care Compare)

7125 New Sanger Ave
Suite 502
Waco, TX 76712-4054
Phone (254) 732-5981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Esmpt, LLC Physical Therapist CurrentSince Dec 1, 2019 Accepting new patients

Locations

607 N Avenue G
Clifton, TX 76634
Phone (254) 675-2554

5100 Franklin Ave
Ste C
Waco, TX 76710
Phone (254) 732-5981

7125 Sanger Rd
Ste 502
Woodway, TX 76712
Phone (254) 732-2224

8810 Woodway Dr
Ste 306
Woodway, TX 76712
Phone (254) 732-5981

Interoperability endpoints

  • Direct secure messaging: denise.wise.1@21068.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21068/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1376185553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 NEW SANGER AVE STE 502",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767124054",
            "telephone_number": "254-732-5981",
            "fax_number": "254-754-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 NORTH AVENUE G",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766347663",
            "telephone_number": "254-675-2554",
            "fax_number": "254-675-4063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7125 New Sanger Ave Ste 502",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767124054",
            "country_code": "US",
            "telephone_number": "254-732-5981",
            "fax_number": "254-754-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "DENISE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1109668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.