Kendall Wisehart, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60591574 Issued in WA

Practice address

3221 Eastlake Ave E Ste 110
Seattle, WA 98102-7125

Phone

(206) 405-1864

NPI assigned

Jul 29, 2015

Sex

Male

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

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

George Washington University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uchealth Community ServicesGroup PAC ID 5395024905, 130 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.

• Uchealth Community Services

  • Physical Therapist
  • Englewood, CO
  • NPI 1841740693
  Medicare reassignment Care Compare group NPD
• Windward Physiotherapy, PLLC

  • Physical Therapy Clinic/Center
  • Denver, CO
  • NPI 1922679257
  NPD Authorized official
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD (past)
• Uchealth Community Services

  • Physical Therapist
  • Castle Rock, CO
  • NPI 1073147179
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1386029528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 EASTLAKE AVE E STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981027125",
            "telephone_number": "206-405-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 EASTLAKE AVE E STE 110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981027125",
            "telephone_number": "206-405-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEHART",
        "first_name": "KENDALL",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60591574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Wise, OTR/L
• Maria A. Wise, DO
• Megan Wise
• Taylor John Wise, RN, PMHNP-BC
• Thomas Wise, MD
• Diana Barrett Wiseman, M.D.
• Katherine Wiseman, MA, CCC-SLP
• Merrell Thames Wiseman, M.D.
• Casey Ann Wishart, LICSW
• Elana J Wishnie Wolfe, ARNP

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.