Organization Active NPI

Wise Therapy Services LLC

  • Occupational Therapist
  • Ormond Beach, FL
National Provider Identifier
1639107766
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
WISE THERAPY SERVICES LLC
Practice address
495 S Nova Rd
Suite 112
Ormond Beach, FL 32174-8470
Phone
(386) 677-4300
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Alan Wise, OTRNPI 1427009596
Title
President
Phone
(386) 290-9383

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
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

495 S Nova Rd
Suite 112
Ormond Beach, FL 32174-8470

Mailing address

315 Rio Pinar Dr
Ormond Beach, FL 32174-3707
Phone (386) 290-9383

National Provider Directory

National Provider Directory

Locations

495 S Nova Rd
Ste 112
Ormond Beach, FL 32174
Phone (386) 677-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639107766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 RIO PINAR DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743707",
            "telephone_number": "386-290-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 S NOVA RD",
            "address_2": "SUITE 112",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748470",
            "telephone_number": "386-677-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-290-9383",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.