Individual provider Active NPI

Patricia Zorrilla Wise, PT, DPT

  • Physical Therapist
  • Milton, FL
National Provider Identifier
1427632447
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42178 Issued in FL
Practice address
3650 Berryhill Rd
Milton, FL 32571-8321
Phone
(850) 995-1364
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4927 AR
Physical Therapist 225100000X PT42178 FL Primary

Addresses

Primary practice location

3650 Berryhill Rd
Milton, FL 32571-8321

Mailing address

4681 Autumndale Dr
Pace, FL 32571-1394
Phone (561) 715-4485

Other practice location 1

601 N 1st St Ste 4
Jacksonville, AR 72076-4139
Phone (501) 241-0410

Other practice location 2

20320 I-30
Ste 190
Benton, AR 72019
Phone (501) 500-8188

Other names 1

  • Patricia Mercedes Zorrilla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220208000080 AR Practitioner - Physical Therapist in Private Practice 8628461019 Reassigns benefits to 1 organization
I20240427001851 MO Practitioner - Physical Therapist in Private Practice 8628461019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4927ARMDPhysical Therapist
PT42178FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Jan 31, 2022 Accepting new patients
All God's Children Therapy Center CurrentSince Mar 24, 2025 Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Jan 31, 2022 Accepting new patients
Rehabclinics SPT Inc Physical Therapist PastSince Nov 17, 2024 Accepting new patients
Gulf Breeze Physical Therapy Inc. Physical Therapist PastSince Nov 17, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

20320 I 30
Ste 190
Benton, AR 72019
Phone (501) 500-8188

601 N 1st St
Ste 4
Jacksonville, AR 72076
Phone (501) 241-0008

2603 W Pleasant Grove Rd
Ste 104
Rogers, AR 72758
Phone (479) 636-1187

109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280

180 Mall Rd
Ste K
Hollister, MO 65672
Phone (417) 263-3045

1227 E 32nd St
Ste 7
Joplin, MO 64804
Phone (417) 624-7400

334 E Mount Vernon Blvd
Mount Vernon, MO 65712
Phone (417) 423-7410

501 S Madison St
Ste L
Webb City, MO 64870
Phone (417) 673-2156

Organizations & group practices 5

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1427632447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4681 AUTUMNDALE DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711394",
            "telephone_number": "561-715-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 BERRYHILL RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325718321",
            "telephone_number": "850-995-1364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N 1st St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AR",
            "postal_code": "720764139",
            "country_code": "US",
            "telephone_number": "501-241-0410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20320 I-30",
            "address_2": "Ste 190",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "72019",
            "country_code": "US",
            "telephone_number": "501-500-8188",
            "fax_number": "501-588-4832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "PATRICIA",
        "middle_name": "ZORRILLA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4927",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ZORRILLA",
            "middle_name": "MERCEDES",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.