WISE PHYSICAL THERAPY LLC (NPI# 1124385042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124385042 |
| Entity Type | Organization |
| Organization Name | WISE PHYSICAL THERAPY LLC |
| Practice Address |
15050 Kutztown Rd Kutztown PA 19530-9275 |
| Mailing Address |
23 Nancy Cir Reading PA 19606-8943 |
| Practice Telephone | 6106835686 |
| Practice Fax Number | 6106838773 |
| Mailing Telephone | 6103088934 |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |
| Authorized Official Name | DR. CHRISTOPHER H. WISE (PRESIDENT) |
| Authorized Official Telephone | 6103088934 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT007644L | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | WI20742 | 01 |
| PA | HEALTH AMERICA, HEALTH ASSURANCE | 422764 | 01 |
| PA | INDEPENDENCE BLUE CROSS | 0716259000 | 01 |
| PA | CAQH | 11908776 | 01 |
| CAPITAL BLUE CROSS | 50083540 | 01 | |
| PA | INDIVIDUAL NPI | 1417034802 | 01 |
| Street Address |
15050 KUTZTOWN RD |
| City | KUTZTOWN |
| State | PA |
| Zip Code | 19530-9275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161409 | Natalie M Kunsman | Family Medicine | 15050 Kutztown Rd, Kutztown, PA 19530-9275 | 2005-08-18 |
| 1992049340 | Aimee Diane Strick | Physical Therapist | 15050 Kutztown Rd, Kutztown, PA 19530-9275 | 2012-11-23 |
| 1417034802 | Christopher H Wise | Physical Therapist | 15050 Kutztown Rd, Kutztown, PA 19530-9275 | 2006-11-01 |
| 1992803712 | Emily Williams | Family Medicine | 15050 Kutztown Rd, Kutztown, PA 19530-9275 | 2006-09-20 |
| 1396774279 | Ilana Rachshtut | Family Medicine | 15050 Kutztown Rd, Kutztown, PA 19530-9275 | 2006-07-02 |
| 1588628077 | Kutztown Family Medicine, PC | Specialist | 15050 Kutztown Rd, Kutztown, PA 19530-9275 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407324262 | Dominika Foltyn | Pharmacist | 15260-2 Kutztown Road, Kutztown, PA 19530 | 2018-11-08 |
| 1104183839 | Rocky Mountain Holdings LLC | Ambulance | 15130 Kutztown Rd, Kutztown, PA 19530 | 2012-04-19 |
| 1871744672 | Kelly Mae Stump | Occupational Therapist | 120 Trexler Avenue, Kutztown Manor, Kutztown, PA 19530 | 2008-10-10 |
| 1508050808 | Gwendolyn Buchanan | Physical Therapist | 1181 Long Lane Rd, Kutztown, PA 19530 | 2007-08-29 |
| 1891833091 | Brandon Nolt | Specialist/Technologist | Keystone Hall Room 120, Kutztown University, Kutztown, PA 19530 | 2007-02-01 |
| 1558444356 | Renard Michael Sacco | Specialist/Technologist | Kutztown University, Keystone Hall, Sports Medicine Office, Rm 120, Kutztown, PA 19530 | 2006-10-23 |
| 1629550082 | Dillon Michael Simmons | Pharmacist | 23 N Elm St, Kutztown, PA 19530 | 2018-09-02 |
| 1922256585 | Chris Matthew Keller | Dentist | 162a Trexler Ave, Kutztown, PA 19530 | 2008-09-08 |
| 1750417150 | Dennis R Clausen | Chiropractor | 635 Noble St, Kutztown, PA 19530 | 2007-02-27 |
| 1093875445 | Michele W Dugan | Psychologist | 133 East Main St, Kutztown, PA 19530 | 2006-12-08 |
| Find all providers in zip 19530 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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| 1811510936 | Ally Wellness LLC | Clinic/Center | 7 S 43rd St Apt 1, Philadelphia, PA 19104-3797 | 2020-05-22 |
| 1811516339 | Alyssa Haveson | Clinic/Center | 23 Sentinel Rd, Washington Crossing, PA 18977-1142 | 2020-04-14 |
| 1104455377 | Dizzy Brain and Balance Specialists LLC | Clinic/Center | 484 Maple Point Dr, Langhorne, PA 19047-1473 | 2020-04-08 |
| 1891326427 | Joshua David Finley | Clinic/Center | 918 Truepenny Rd, Media, PA 19063-1634 | 2020-02-02 |
| 1487285003 | Adamson Therapy Services, LLC | Clinic/Center | 35 S West St Ste B, Waynesburg, PA 15370-2029 | 2020-02-02 |
| 1538799796 | Sirona Therapy P.C. | Clinic/Center | 220 W Plum St Ste 335, Edinboro, PA 16412-2167 | 2020-01-16 |
| 1326683095 | Drayer Physical Therapy Institute LLC | Clinic/Center | 702 Creekside Ln, Lititz, PA 17543-6826 | 2019-11-16 |
| 1396380150 | Sfas Physical Therapy LLC | Clinic/Center | 347a Old Curry Hollow Rd, Pittsburgh, PA 15236-4608 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.