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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY WISEMAN, PT, DPT, GCS

Active Sole Proprietor

MARY WISEMAN, PT, DPT, GCS is a Physical Therapy Assistant healthcare provider located in SLATINGTON, Pennsylvania. NPI 1366837064 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SLATINGTON, PA

Registration Details

NPI Number
1366837064
Provider Type
Individual
Gender
Female
NPI Issued
Mar 31, 2015 (11.357129379255 yrs)
Last Updated
Dec 19, 2025
Licenses
PT023632 (PA)
40QA01551800 (NJ)
Sole Proprietor
Yes

Practice Information

Address
8367 REXTOWN RD
SLATINGTON, PA, 180803463
Browse PA providers · Browse ZIP 18080
Phone
4846241566
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SLATINGTON, PA

Name Credential NPI
ELIZABETH DAY BURESH PT 1043461254
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.