Active NPI
Michael Alan Wise, OTR
- Occupational Therapist
- Ormond Beach, FL
National Provider Identifier
1427009596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1161
- Practice address
- 495 S Nova Rd
Ormond Beach, FL 32174-8470 - Phone
- (386) 677-4300
- NPI assigned
- May 13, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1161 | FL | Primary |
Addresses
Primary practice location
495 S Nova Rd
Ormond Beach, FL 32174-8470
Mailing address
315 Rio Pinar Dr
Ormond Beach, FL 32174-3707
Phone (386) 290-9383
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 |
|---|---|---|---|
| Wise Therapy Services LLC | Occupational Therapist | Past | Accepting new patients |
| Rhonda L Boertmann Cota PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Ormond Beach, FL
- NPI 1639107766
-
- Occupational Therapy Assistant
- Deltona, FL
- NPI 1679617740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1427009596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 RIO PINAR DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321743707",
"telephone_number": "386-290-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 S NOVA RD",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748470",
"telephone_number": "386-677-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT1161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.