Colton Wise, DPT is a
Physical Therapist based in West Fork, Arkansas. Colton Wise is licensed to practice in South Carolina (license number CP024931T) and his current practice location is
13238 Wallin Mountain Rd, West Fork, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 502-5727.
NPI number for Colton Wise is 1700663705 and his current mailing address is 13238 Wallin Mountain Rd, West Fork, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700663705.
Healthcare Provider's Profile
| Full Name | Colton Wise |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
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| Location | 13238 Wallin Mountain Rd, West Fork, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700663705
- Provider Enumeration Date: 09/12/2023
- Last Update Date: 02/09/2026
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 |
| 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
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 |
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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