Kevin Wisdom, P.T.
NPI 1063485670ActiveIndividual· Physical Therapist· Fayetteville, AR
Physical Therapist (P.T.) with Ozark Orthopaedics, P.A., practicing in Fayetteville, Arkansas. Medicare paid $51,784 for services to 219 patients in 2024.
Overview
| NPI | 1063485670 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | No |
| NPI issued | Feb 13, 2006 |
| Last updated in NPPES | Dec 14, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT2490 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 219 |
|---|---|
| Services billed | 2,983 across 12 procedure codes |
| Paid by Medicare | $51,784 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ozark Orthopaedics, P.A.Bentonville, AR · 58 clinicians
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