Organization Active NPI

The Wise Decision Sports & Nutrition LLC

  • Athletic Trainer
  • Grosse Pointe Woods, MI
National Provider Identifier
1427704469
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Legal business name
THE WISE DECISION SPORTS & NUTRITION LLC
Practice address
1045 Cook Rd
Grosse Pointe Woods, MI 48236-2509
Phone
(313) 444-9348
NPI assigned
Feb 28, 2022
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Mr. Sterling Wise, CMTNPI 1720741440
Title
Ceo
Phone
(313) 544-8073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X NU Primary

Addresses

Primary practice location

1045 Cook Rd
Grosse Pointe Woods, MI 48236-2509

Mailing address

2127 Lennon St
Grosse Pointe Woods, MI 48236-1657
Phone (313) 544-8073

National Provider Directory

National Provider Directory

Locations

1045 Cook Rd
Grosse Pointe Woods, MI 48236
Phone (313) 444-9348

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1427704469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 LENNON ST",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361657",
            "telephone_number": "313-544-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 COOK RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362509",
            "telephone_number": "313-444-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WISE DECISION SPORTS & NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "STERLING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-544-8073",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.