Jeremiah Wisdom, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5220 Park Ave
Suite 201
Memphis, TN 38119-3540

Phone

(901) 683-9630

Fax

(901) 767-2663

NPI assigned

Jun 6, 2016

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1699124271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR",
            "address_2": "SUITE 600",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677269",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 PARK AVE",
            "address_2": "SUITE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193540",
            "telephone_number": "901-683-9630",
            "fax_number": "901-767-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "JEREMIAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Brianna Winters, TLPC - MHSP
• Jasina Camille Winton, D.D.S.
• Esther M. Wipf, M.A.; CTRS;
• Camron Wipfli, MD
• Kari Rose Wipfli, P.A.
• Randall Wisdom, MD
• April R Wise, PHARMD
• Austin Jacob Wise, D.O.
• Edward A Wise, PHD
• Kimberly Sue Wise, CCC-SLP

• Physical Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.