Active NPI
Patricia Zorrilla Wise, PT, DPT
- Physical Therapist
- Milton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42178
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MO
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4927 | AR | MD | Physical Therapist |
| PT42178 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serc Rehabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| All God's Children Therapy Center | Current | Accepting new patients | |
| Serc Rebabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Rehabclinics SPT Inc | Physical Therapist | Past | Accepting new patients |
| Gulf Breeze Physical Therapy Inc. | Physical Therapist | Past | 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.
-
dba Arkansas Children's Therapy Group
- Pediatric Physical Therapist
- Jacksonville, AR
- NPI 1013008838
-
- Physical Therapist
- Overland Park, KS
- NPI 1598190209
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Pensacola, FL
- NPI 1730183153
Physical Therapist
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.