Wisdom Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WISDOM PHYSICAL THERAPY, INC.

Practice address

426 N Imperial Ave
El Centro, CA 92243-2329

Phone

(760) 592-8148

Fax

(760) 841-5556

NPI assigned

Jan 14, 2015

Last updated

Sep 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas WisdomNPI 1912157637

Title

Owner

Phone

(760) 592-8148

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Dean Wisdom, P.T.

  • Physical Therapist
  • El Centro, CA
  • NPI 1912157637
  Authorized official Same address or phone

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1780073718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "760-592-8148",
            "fax_number": "858-751-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 N IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922432329",
            "telephone_number": "760-592-8148",
            "fax_number": "760-841-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "WISDOM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-592-8148"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Darnell Williams Jr., FNP-C, MSN, RN, CEN
• Tenisha Maritza Williams
• Tina Annette Williams, LMFT 135280
• Arlene Wimer-Silva
• Nayram Guadalupe Winkler
• Douglas Dean Wisdom, P.T.
• Without Limits ABA Therapy Inc
• Rosemonde Woel, M.D.
• Patrick Wolcott, MD
• Womanhaven

• Physical Therapist in El Centro, CA
• Providers in El Centro, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.