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

Douglas Dean Wisdom, PT

Individual provider Physical Therapist · NPI 1912157637

Douglas Dean Wisdom, PT is a Physical Therapist in Private Practice in El Centro, California. Graduated from Loma Linda University School of Medicine in 1980, 46 years ago. Practices with Farid Zia Physical Therapist a Professional Corp, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
46
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

426 N Imperial Ave
El Centro, CA 92243-2329
Phone: (760) 592-8148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT10870 (CA)

Record details

NPI number1912157637
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 30, 2008
Last updated in NPPESOctober 7, 2019
Mailing address426 N Imperial Ave, El Centro, CA 92243-2329

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Farid Zia Physical Therapist A Professional Corp — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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