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

Zachary David Wiskow

Individual provider Physical Therapist · NPI 1013709591

Zachary David Wiskow is a Physical Therapist in Private Practice in Wilmington, North Carolina. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025

Practice location Address checks out

6019 Oleander Dr Ste 200
Wilmington, NC 28403-4813
Phone: (919) 790-9714
Fax: (910) 791-1063
Show map & directions

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

Additional practice locations (1)

  • 1321 E Sunset Dr, Monroe, NC 28112-4324 — (704) 248-6974

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P24066 (NC)

Record details

NPI number1013709591
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 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)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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