Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mark Wiseman

Individual provider Physical Therapist · NPI 1699645994

Mark Wiseman is registered under Physical Therapist in Private Practice in Centerton, Arkansas. Qualified in 2025, 1 year ago. Practices with Serc Rebabilitation Partners, LLC, a 211-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
1
Licensed in
AR
In the registry since
2025
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Practice location Address checks out

1260 E Centerton Blvd
Centerton, AR 72719-5100
Phone: (479) 795-0173
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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 PT5776 (AR)

Record details

NPI number1699645994
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 11, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Serc Rebabilitation Partners, Llc — 211 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Serc Rebabilitation Partners, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 211 clinicians in the practice; 12 are shown here.

Other providers in Centerton