Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addison Brown Wise, PT, DPT

Individual provider Physical Therapist · NPI 1790317758

Addison Brown Wise, PT, DPT is a Physical Therapist in Private Practice in West Linn, Oregon. Qualified in 2019, 7 years ago. Practices with Peak Motion PLLC, a 28-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1554 Garden St Ste 103
West Linn, OR 97068-3278
Phone: (503) 723-0347
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 63573 (OR)

Record details

NPI number1790317758
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 7, 2020
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024
Mailing address1905 Se 192nd Ave Ste 109, Camas, WA 98607-7415

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Peak Motion Pllc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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