Organization
WISE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER H. WISE PT (PRESIDENT)
(610) 308-8934
Entity
Organization
Contact information
Practice address
15050 KUTZTOWN RD, KUTZTOWN, PA 19530-9275
(610) 683-5686
(610) 683-8773
Mailing address
23 NANCY CIR, READING, PA 19606-8943
(610) 308-8934
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT007644L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0716259000
INDEPENDENCE BLUE CROSS
PA
01
—
11908776
CAQH
PA
01
—
1417034802
INDIVIDUAL NPI
PA
01
—
422764
HEALTH AMERICA, HEALTH ASSURANCE
PA
01
—
50083540
CAPITAL BLUE CROSS
—
01
—
WI20742
HIGHMARK
PA
Enumeration date
04/17/2012
Last updated
04/17/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us