Savannah Lauren Wise, is a
Physical Therapist - Pediatrics based in Ravenel, South Carolina. Savannah Lauren Wise is licensed to practice in South Carolina (license number 11195) and her current practice location is
6036 Postell Dr, Ravenel, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(717) 919-0312.
NPI number for Savannah Lauren Wise is 1831749555 and her current mailing address is 6036 Postell Dr, Ravenel, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831749555.
Healthcare Provider's Profile
Full Name | Savannah Lauren Wise |
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Gender | Female |
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Speciality | Physical Therapist - Pediatrics |
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Location | 6036 Postell Dr, Ravenel, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831749555
- Provider Enumeration Date: 09/14/2019
- Last Update Date: 06/04/2025
Medical Identifiers
Medical identifiers for Savannah Lauren Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831749555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 11195 (South Carolina) | Secondary |
2251P0200X | Physical Therapist - Pediatrics | 11195 (South Carolina) | Primary |
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. Savannah Lauren Wise is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Savannah Lauren Wise, 6036 Postell Dr, Ravenel, SC 29470-5358 Ph: (717) 919-0312 | Savannah Lauren Wise, 6036 Postell Dr, Ravenel, SC 29470-5358 Ph: (717) 919-0312 |
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