Colton Wise, DPT is a medicare enrolled "Physical Therapist" provider in West Fork, Arkansas. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Physical Therapist In Private Practice. His current practice location is
13238 Wallin Mountain Rd, West Fork, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 502-5727.
Colton Wise is licensed to practice in South Carolina (license number CP024931T) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1700663705.
Healthcare Provider's Profile
| Full Name | Colton Wise |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 3 Years |
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| Location | 13238 Wallin Mountain Rd, West Fork, Arkansas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Colton Wise graduated from medical school in 2023
NPI Data:
- NPI Number: 1700663705
- Provider Enumeration Date: 09/12/2023
- Last Update Date: 02/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 9830679638
- Enrollment ID: I20260224003316
Medical Identifiers
Medical identifiers for Colton Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700663705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | CP024931T (South Carolina) | Primary |
| 225100000X | Physical Therapist | 5389 (Arkansas) | Secondary |
| 225100000X | Physical Therapist | CP052180T (Virginia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colton Wise is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Colton Wise, DPT
13238 Wallin Mountain Rd,
West Fork, AR 72774-9215
Ph: () - | Colton Wise, DPT
13238 Wallin Mountain Rd,
West Fork, AR 72774-9215
Ph: (479) 502-5727 |
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