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

David Brice Wisdom, MSPT

Individual provider Physical Therapist · NPI 1720358906

David Brice Wisdom, MSPT is a Physical Therapist in Private Practice in Jacksonville, North Carolina. Qualified in 2004, 22 years ago. Practices with Ideal Physical Therapy of Texas LLC, a 360-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
22
Licensed in
NC
In the registry since
2012

Practice location Address checks out

308 Brynn Marr Rd
Jacksonville, NC 28546
Phone: (910) 478-9701
Fax: (910) 478-9703
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P17806 (NC)

Record details

NPI number1720358906
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJanuary 5, 2012
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Ideal Physical Therapy Of Texas Llc — 360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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