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

Kevin Wisdom, PT

Individual provider Physical Therapist · NPI 1063485670

Kevin Wisdom, PT is a Physical Therapist in Private Practice in Fayetteville, Arkansas. Qualified in 2000, 26 years ago. Practices with Ozark Orthopaedics, PA, a 57-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
26
Licensed in
AR
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Phone: (479) 521-2752
Fax: (479) 444-6942
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT2490 (AR)

Record details

NPI number1063485670
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESDecember 14, 2010
Mailing addressPo Box 1608, Fayetteville, AR 72702-1608

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Ozark Orthopaedics, P.A. — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fayetteville