David J Wisowaty
David J Wisowaty is a Physical Therapist in Private Practice in Wilkes Barre, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Elite Spine and Sports Physical Therapy LP, a 13-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 8
- Licensed in
- PA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
182 Butler StWilkes Barre, PA 18702-4465
Phone: (570) 970-0402
Fax: (570) 970-0403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence PT027398 (PA) |
Record details
| NPI number | 1881159887 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 4, 2019 |
| Last updated in NPPES | May 24, 2021 |
| Certification date | May 24, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Elite Spine And Sports Physical Therapy Lp — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Wilkes Barre
-
Hannah Meadows
182 Butler St, Wilkes Barre, PA 18702-4465 · (157) 097-0040
-
Dr. Enid Rosario Melendez Pacheco, MD
150 Mundy St Mac IV Bldg, Wilkes Barre, PA 18702-6830 · (570) 824-0930
-
Justin Minor, MPT
182 Butler St, Wilkes Barre, PA 18702-4465 · (570) 970-0402
-
Dr. Bhagyalakshmi D Satyam, MD
150 Mundy St Mac IV Bldg, Wilkes Barre, PA 18702-6830 · (570) 924-0930