Addison Brown Wise, PT, DPT
NPI 1790317758ActiveIndividual· Physical Therapist· West Linn, OR
Physical Therapist (PT, DPT) with Peak Motion PLLC, practicing in West Linn, Oregon. Medicare paid $34,110 for services to 60 patients in 2024.
Overview
| NPI | 1790317758 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Feb 7, 2020 |
| Last updated in NPPES | May 13, 2024 |
| Certified by provider | May 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 63573 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 1,472 across 8 procedure codes |
| Paid by Medicare | $34,110 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Peak Motion PLLCSequim, WA · 33 clinicians
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