Allison Nance Wise, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6508 Issued in NC

Practice address

2000 W Main St Ste C
Albemarle, NC 28001-5446

Phone

(704) 984-2778

NPI assigned

Feb 21, 2019

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

Other identifiers 1

Other names 1

• Allison Rebecca Nance Former name

Electronic endpoints 1

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.

• Revive Therapy LLC

  • Physical Therapy Assistant
  • Albemarle, NC
  • NPI 1225785512
  NPD Authorized official

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1720545213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28782 CANTON RD APT A",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280018155",
            "telephone_number": "704-984-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W MAIN ST STE C",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280015446",
            "telephone_number": "704-984-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "ALLISON",
        "middle_name": "NANCE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2022-03-23",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720545213",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Allison.wise@covenantcasemanagementservices.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 W Main St Ste C",
            "city": "Albemarle",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280015446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "NANCE",
            "middle_name": "REBECCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Williams
• Beth Sarkisian Willis, RD, LDN
• Claudia Ferro Wilson, PA
• Rashonda R. Wilson, PMHNP
• Scott Michael Winslow, CRNA
• Evelyn Witting, CCC-SLP
• Amisha V Woods
• WP-Albemarle Health Holdings, LLC
• Ashley Wright
• Donna Darlene Wright, CNM

• Physical Therapy Assistant in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.