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

Jeremy Wiseman, MPT

Individual provider Physical Therapist · NPI 1346265303

Jeremy Wiseman, MPT is a Physical Therapist in Private Practice in Louisville, Kentucky. Qualified in 2001, 25 years ago. Practices with Sn Kentuckiana Rehab, LLC, a 343-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
25
Licensed in
KY
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

9400 Williamsburg Plz Ste 100
Louisville, KY 40222-5093
Phone: (502) 412-4486
Fax: (502) 412-4490
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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 004213 (KY)

Record details

NPI number1346265303
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESSeptember 19, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Sn Kentuckiana Rehab, Llc — 343 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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