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

Kelly Wisdom, PT, DPT

Individual provider Physical Therapist · NPI 1033458930

Kelly Wisdom, PT, DPT is a Physical Therapist in Private Practice in Tucson, Arizona. Qualified in 2015, 11 years ago. Practices with Ridgeview Physical Therapy PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2013
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

63675 E Saddlebrooke Blvd Ste R
Tucson, AZ 85739-1297
Phone: (520) 825-8002
Fax: (520) 825-8012
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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 11614 (AZ)

Record details

NPI number1033458930
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 12, 2013
Last updated in NPPESJune 18, 2015
Mailing address63675 E Saddlebrooke Blvd, Suite R, Tucson, AZ 85739-1297

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ridgeview Physical Therapy Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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