Douglas Dean Wisdom, P.T.
NPI 1912157637ActiveIndividual· Physical Therapist· El Centro, CA
Physical Therapist (P.T.) in El Centro, California, trained at Loma Linda University School of Medicine (class of 1980). Medicare paid $16,687 for services to 104 patients in 2024.
Overview
| NPI | 1912157637 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | Yes |
| NPI issued | Sep 30, 2008 |
| Last updated in NPPES | Oct 7, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT10870 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 104 |
|---|---|
| Services billed | 903 across 8 procedure codes |
| Paid by Medicare | $16,687 |
Education and affiliations
| Medical school | Loma Linda University School of Medicine |
|---|---|
| Graduation year | 1980 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Farid Zia Physical Therapist A Professional CorpEl Centro, CA · 4 clinicians
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All 29 physical therapists in El Centro · All physical therapists in California