Sadie Wise

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2023009397 Issued in MO

Practice address

1110 Victor St
Saint Louis, MO 63104-4324

Phone

(314) 865-2799

NPI assigned

Mar 11, 2024

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• The Soulard School

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1235901414
  NPD

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1639937949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 VICTOR ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631044324",
            "telephone_number": "314-865-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 VICTOR ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631044324",
            "telephone_number": "314-865-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "SADIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2023009397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl L Wise, MSW, LCSW
• Debra Wise
• Jacob Joseph Wise, MD
• Katherine Velarde Wise, MD
• Paul Edward Wise, MD
• William L Wise, CRNA
• Wisechoice Home Health Care LLC
• Erin Wisemore, OT
• Deborah Ann Wiser
• Wishing Well Counseling, LLC

• Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.