Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK WISEMAN
ActivePhysical Therapy Assistant · CENTERTON, AR
Registration Details
- NPI Number
- 1699645994
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2025 (0.46864149881475 yrs)
- Last Updated
- Nov 11, 2025
- License
-
PT5776 (AR)
Practice Information
- Address
-
1260 E CENTERTON BLVDCENTERTON, AR, 727195100Browse AR providers · Browse ZIP 72719
- Phone
- 4797950173
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CENTERTON, AR
| Name | Credential | NPI |
|---|---|---|
| SHARINA DARLENE CASSITY | PT, DPT | 1114500998 |
| COREY BLAKE SIMPSON | PT, DPT | 1568179919 |
| AMY BRANDENBURG | — | 1578449542 |
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.