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

Matthew Richard Wisehart, DPT

Individual provider Physical Therapist · NPI 1063861060

Matthew Richard Wisehart, DPT is a Physical Therapist in North las Vegas, Nevada. Works from 2 locations. Licensed in Arizona and Idaho.

Licensed in
AZ, ID
In the registry since
2016
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3155 W Craig Rd Ste 120140
North las Vegas, NV 89032-0782
Phone: (702) 639-2333
Fax: (702) 639-2334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11209 N Tatum Blvd, Phoenix, AZ 85028-3091 — (602) 595-0204

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-6532 (ID)
Physical Therapist Taxonomy 225100000X · Licence 12255 (AZ)

Record details

NPI number1063861060
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 9, 2016
Last updated in NPPESMay 29, 2023
Certification dateMay 29, 2023

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