John William Wise, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PHYP1462 Issued in AK

Practice address

1200 Airport Heights Dr Ste 170
Anchorage, AK 99508-2986

Phone

(907) 562-2118

Fax

(907) 562-2128

NPI assigned

Oct 26, 2006

Last updated

Dec 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wise Physical Therapy and Rehabilitation Inc.Group PAC ID 5597865840, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wise Physical Therapy and Rehabilitation Inc.

  • Physical Therapist
  • Anchorage, AK
  • NPI 1164629853
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1881779817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 170",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082986",
            "telephone_number": "907-562-2118",
            "fax_number": "907-562-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 170",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082986",
            "telephone_number": "907-562-2118",
            "fax_number": "907-562-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "PHYP1462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MPG0067",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT48521",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wise Physical Therapy and Rehabilitation Inc.
• Courtney Wise
• Devin Wise
• Duane W Wise
• Joann Wise, CARE COORDINATOR
• Anna Marie Wiseman
• Shirley Wiser
• Nicolle Kahl Wisniewski, MPAS, PA-C
• Autumn Marie Wissner, CF-SLP
• Joshua Aaron Witham

• Physical Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapist in Alaska

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