MEDICARE: WILLIAM WISE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1659934875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM WISE

Provider Business Mailing Address
First Line	:	PO BOX 724557
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	31139-1557
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 PALM COAST PKWY NE UNIT 209A
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-8289
Country	:	US
Telephone Number	:	386-597-1927
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2019
Last Update Date	:	04/15/2019

Similar Medicare Providers

1336602242 — PT SOLUTIONS OF PENSACOLA LLC
Practice Location Address:

250 PALM COAST PKWY NE UNIT 209A
PALM COAST, FL
32137-8289

Practice Phone: 678-932-3629
Practice Fax: 386-597-1926

1558824383 — BRIAN MCELHINNEY
Practice Location Address:

250 PALM COAST PKWY NE UNIT 209A
PALM COAST, FL
32137-8289

Practice Phone: 386-597-1927
Practice Fax: 386-597-1926

1124581939 — CHRISTOPHER KAMM
Practice Location Address:

250 PALM COAST PKWY NE UNIT 209A
PALM COAST, FL
32137-8289

Practice Phone: 386-597-1927
Practice Fax: 386-597-1926

1144885732 — MARLEIGH MLINAC STEVENSON DPT
Practice Location Address:

250 PALM COAST PKWY NE UNIT 209A
PALM COAST, FL
32137-8289

Practice Phone: 386-597-1927
Practice Fax: 386-597-1926

1255943320 — JESSICA FRYKBERG VOGEL OTR/L
Practice Location Address:

250 PALM COAST PKWY NE UNIT 209
PALM COAST, FL
32137-8289

Practice Phone: 386-597-1927
Practice Fax:

1104539188 — RACHEL CHESAR
Practice Location Address:

250 PALM COAST PKWY NE UNIT 209
PALM COAST, FL
32137-8289

Practice Phone: 386-597-1927
Practice Fax:

Directions to “ WILLIAM WISE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.