Individual provider Active NPI

Isaak Wise, DPT

  • Physical Therapist
  • Green Valley, AZ
National Provider Identifier
1750065744
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
18773 S Nogales Hwy Ste 105
Green Valley, AZ 85614-0403
Phone
(520) 477-3130
Fax
(480) 885-1788
NPI assigned
Jun 12, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X AZ Primary

Addresses

Primary practice location

18773 S Nogales Hwy Ste 105
Green Valley, AZ 85614-0403

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

11853 Beckenham Rd
North Royalton, OH 44133-6167
Phone (440) 521-6179

Other practice location 2

3018 Festival Way # 323
Waldorf, MD 20601-2958
Phone (240) 754-5520

Other practice location 3

1215 W Pioneer Pkwy Ste 200
Grand Prairie, TX 75051-4917
Phone (972) 400-4752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240902000339 AZ Practitioner - Physical Therapist in Private Practice 7517326325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Oct 9, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Oct 9, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist PastSince Jun 1, 2023 Accepting new patients
Ati Holding LLC Physical Therapist PastSince Jun 1, 2023 Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

18773 S Nogales Hwy
Ste 105
Green Valley, AZ 85614
Phone (520) 477-3130

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

1215 W Pioneer Pkwy
Ste 200
Grand Prairie, TX 75051
Phone (972) 400-4752

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1750065744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18773 S NOGALES HWY STE 105",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140403",
            "telephone_number": "520-477-3130",
            "fax_number": "480-885-1788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11853 Beckenham Rd",
            "address_purpose": "LOCATION",
            "city": "North Royalton",
            "state": "OH",
            "postal_code": "441336167",
            "country_code": "US",
            "telephone_number": "440-521-6179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3018 Festival Way # 323",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206012958",
            "country_code": "US",
            "telephone_number": "240-754-5520",
            "fax_number": "301-705-6797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 W Pioneer Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750514917",
            "country_code": "US",
            "telephone_number": "972-400-4752",
            "fax_number": "972-400-4754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "ISAAK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.