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

MS. Lacey Wise, PT

Individual provider Physical Therapist · NPI 1154830677

MS. Lacey Wise, PT is registered under Physical Therapist in Private Practice in Castle Rock, Washington. Qualified in 2017, 9 years ago. Practices with Centralia Physical Therapy Inc Ps, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1316 Mt Saint Helens Way SE Ste B
Castle Rock, WA 98611
Phone: (360) 557-8020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1817 S Market Blvd Ste C, Chehalis, WA 98532-4100 — (360) 996-4410

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61342050 (WA)

Record details

NPI number1154830677
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESMarch 26, 2024
Certification dateMarch 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Centralia Physical Therapy Inc Ps — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients29
Services billed 243 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Centralia Physical Therapy Inc Ps

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 20 clinicians in the practice; 12 are shown here.

Other providers in Castle Rock