Gina Wiseman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA013799 Issued in OH

Practice address

122 Medina Rd
Medina, OH 44256-9650

Phone

(330) 239-1100

NPI assigned

Nov 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1609690890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 WATKINS RD",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442036156",
            "telephone_number": "330-636-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569650",
            "telephone_number": "330-239-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "GINA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA013799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly R Wirebaugh, PT
• June A Wirtz, R.D.
• Agnes Anna Wise
• Brenda Irvin Wise, MT-BC
• Jacquelyn N Wise
• Lisa M.T. Wiseman, OD
• Brenda S. Witsaman, FNP-C
• Amy Witte, SLP
• Uwe Alfred Wolfram
• Bryce Wood

• Physical Therapy Assistant in Medina, OH
• Providers in Medina, OH by specialty
• Physical Therapy Assistant in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.