| Matthew Wiseman, DPT,PT | |
|
29615 Fm 1093 Rd Ste 2, Fulshear, TX 77441-3926 | |
| (281) 533-0507 | |
| (281) 533-0521 |
| Full Name | Matthew Wiseman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 29615 Fm 1093 Rd Ste 2, Fulshear, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184929168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-3831 (Idaho) | Secondary |
| 225100000X | Physical Therapist | 10358145-2401 (Utah) | Secondary |
| 225100000X | Physical Therapist | 1394746 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Luna Care Physical Therapy Llc | 0648692723 | 261 |
| Star Therapy Centers Limited Partnership | 3779493630 | 17 |
| Provider Name | Dmxq, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265946073 PECOS PAC ID: 0446580203 Enrollment ID: O20190923001151 |
| Provider Name | Blue Lagune Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1699152074 PECOS PAC ID: 1759773302 Enrollment ID: O20220112000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Wiseman, DPT,PT 29615 Fm 1093 Rd Ste 2, Fulshear, TX 77441-3926 Ph: (281) 533-0507 | Matthew Wiseman, DPT,PT 29615 Fm 1093 Rd Ste 2, Fulshear, TX 77441-3926 Ph: (281) 533-0507 |
Mrs. Ann Carmel Padillo Siegue, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4218 Chloe Ridge Ln, Fulshear, TX 77441 Phone: 346-715-0364 | |
Eileen Bermudez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4415 Westerdale Dr, Fulshear, TX 77441 Phone: 832-867-6033 | |
Trenton Donald Vanooteghem, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 29615 Fm 1093 Rd Ste 2, Fulshear, TX 77441 Phone: 281-533-0507 Fax: 281-533-0521 | |
Hailey Marie Scholz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 29615 Fm 1093 Rd Ste 2, Fulshear, TX 77441 Phone: 281-533-0507 Fax: 281-533-0521 | |
Kristin Elise Vogler, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 29615 Fm 1093 Rd, Ste 2, Fulshear, TX 77441 Phone: 281-533-0507 Fax: 281-533-0521 | |
Melanie Repato, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3523 Canyon Branch Ln, Fulshear, TX 77441 Phone: 915-630-4600 |