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

Colton Wise, DPT

Individual provider Physical Therapist · NPI 1700663705

Colton Wise, DPT is a Physical Therapist in Private Practice in West Fork, Arkansas. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Arkansas, South Carolina and Virginia.

Years since qualifying
3
Licensed in
AR, SC, VA
In the registry since
2023
Specialties on file
3
What do these letters mean?
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

13238 Wallin Mountain Rd
West Fork, AR 72774-9215
Phone: (479) 502-5727
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP024931T (SC)
Physical Therapist Taxonomy 225100000X · Licence 5389 (AR)
Physical Therapist Taxonomy 225100000X · Licence CP052180T (VA)

Record details

NPI number1700663705
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 12, 2023
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address13238 Wallin Mountain Rd, West Fork, AR 72774-9215

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in West Fork