Active NPI
Christopher H Wise, PT
- Physical Therapist
- Kutztown, PA
National Provider Identifier
1417034802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007644L
- Practice address
- 15050 Kutztown Rd
Kutztown, PA 19530-9275 - Phone
- (610) 683-5686
- Fax
- (610) 683-8773
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007644L | PA | Primary |
Addresses
Primary practice location
15050 Kutztown Rd
Kutztown, PA 19530-9275
Mailing address
15050 Kutztown Rd
Kutztown, PA 19530-9275
Phone (610) 683-5686
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417034802 | Other | PA | INTERGROUP |
| 50083550 | Other | PA | CAPITAL BLUE CROSS |
| 0716259000 | Other | PA | PERSONAL CHOICE |
| 0716259000 | Other | PA | AMERIHEALTH |
| 1417034802 | Other | PA | HEALTHNET |
| WI20742 | Other | PA | HIGHMARK |
| 422764 | Other | PA | HEALTH AMER/HEALTH ASSUR. |
| 000020742 | Other | PA | HIGHMARK BLUE SHIELD |
| 1417034802 | Other | PA | BERKSHIRE HEALTH PLAN EAST |
| 1417034802 | Other | PA | CIGNA |
| 0716259000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1417034802 | Other | PA | PHCS/MULTIPLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reading Berks Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Wyomissing, PA
- NPI 1609841386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1417034802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15050 KUTZTOWN RD",
"city": "KUTZTOWN",
"state": "PA",
"postal_code": "195309275",
"telephone_number": "610-683-5686",
"fax_number": "610-683-8773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15050 KUTZTOWN RD",
"city": "KUTZTOWN",
"state": "PA",
"postal_code": "195309275",
"telephone_number": "610-683-5686",
"fax_number": "610-683-8773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "CHRISTOPHER",
"middle_name": "H",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007644L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERGROUP",
"identifier": "1417034802",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50083550",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0716259000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0716259000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1417034802",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "WI20742",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMER/HEALTH ASSUR.",
"identifier": "422764",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000020742",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BERKSHIRE HEALTH PLAN EAST",
"identifier": "1417034802",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1417034802",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0716259000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS/MULTIPLAN",
"identifier": "1417034802",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kutztown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.