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

Tara E Wise, MS, OTR/L

Individual provider Military Health Care Provider · NPI 1851675219

Tara E Wise, MS, OTR/L is a Military Health Care Provider in Fort Drum, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Phone: (315) 772-3380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence 016540-1 (NY)

Record details

NPI number1851675219
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedOctober 4, 2011
Last updated in NPPESOctober 4, 2011
Mailing address11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438

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