Active NPI
Brian R. Wiley, P.T.
- Physical Therapist
- Columbia, SC
National Provider Identifier
1497723365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4676
- Practice address
- 2180 Pickens St Apt 429
Columbia, SC 29201-2786 - Phone
- (803) 917-1878
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | 4676 | SC | |
| Physical Therapist | 225100000X | 4676 | SC | Primary |
Addresses
Primary practice location
2180 Pickens St Apt 429
Columbia, SC 29201-2786
Mailing address
2180 Pickens St Apt 429
Columbia, SC 29201-2786
Phone (803) 917-1878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4676 | Other | SC | PT LICENSE # |
| 861168971 | Other | SC | EMPLOYER ID# |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4676 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Orthopaedic Group LLC | 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.
-
- Orthopaedic Surgery Physician
- Columbia, SC
- NPI 1255308342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1497723365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 PICKENS ST APT 429",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012786",
"telephone_number": "803-917-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 PICKENS ST APT 429",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012786",
"telephone_number": "803-917-1878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "BRIAN",
"middle_name": "R.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "SC",
"license": "4676",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE #",
"identifier": "4676",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER ID#",
"identifier": "861168971",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.