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

Ian Lewis Wissick, PT, DPT

Individual provider Physical Therapist · NPI 1477281863

Ian Lewis Wissick, PT, DPT is a Physical Therapist in Private Practice in Tucson, Arizona. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Arizona and New York.

Years since qualifying
4
Licensed in
AZ, NY
In the registry since
2022
Specialties on file
2
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.

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Practice location Address checks out

5393 S Calle Santa Cruz Ste 107
Tucson, AZ 85706-3556
Phone: (520) 225-0129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 West Ave, Le Roy, NY 14482-1381 — (585) 768-4550

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 033933 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 049084 (NY)

Record details

NPI number1477281863
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 12, 2022
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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