Active NPI
Alexis Nicole Wise, OTR/L
- Physical Rehabilitation Occupational Therapist
- Fredericksburg, VA
National Provider Identifier
1528970613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 0119011595
- Practice address
- 4710 Spotsylvania Pkwy
Fredericksburg, VA 22407-9433 - Phone
- (540) 479-4779
- NPI assigned
- Sep 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 0119011595 | VA | Primary |
Addresses
Primary practice location
4710 Spotsylvania Pkwy
Fredericksburg, VA 22407-9433
Mailing address
3416 Gayton Meadows Ter
Richmond, VA 23233-6647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1528970613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 GAYTON MEADOWS TER",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232336647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 SPOTSYLVANIA PKWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224079433",
"telephone_number": "540-479-4779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "ALEXIS",
"middle_name": "NICOLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "VA",
"license": "0119011595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.