Active NPI
Bridget Alise Wiseley, M.S., ATC
- Athletic Trainer
- Swarthmore, PA
National Provider Identifier
1942578588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT004234
- Practice address
- 308 Rolling Creek Rd
Swarthmore, PA 19081-2633 - Phone
- (610) 543-7766
- NPI assigned
- Dec 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT004234 | PA | Primary |
| Athletic Trainer | 2255A2300X | J30000402 | DE |
Addresses
Primary practice location
308 Rolling Creek Rd
Swarthmore, PA 19081-2633
Mailing address
308 Rolling Creek Rd
Swarthmore, PA 19081-2633
Phone (610) 543-7766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Other | DE | RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J30000402 | DE | MD | Athletic Trainer |
| RT004234 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1942578588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 ROLLING CREEK RD",
"city": "SWARTHMORE",
"state": "PA",
"postal_code": "190812633",
"telephone_number": "610-543-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 ROLLING CREEK RD",
"city": "SWARTHMORE",
"state": "PA",
"postal_code": "190812633",
"telephone_number": "610-543-7766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISELEY",
"first_name": "BRIDGET",
"middle_name": "ALISE",
"credential": "M.S., ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-11",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT004234",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "DE",
"license": "J30000402",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS",
"identifier": "22",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Swarthmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.