KEVIN WISDOM P.T.
NPI 1063485670
Physical Therapist in Fayetteville, AR

Active since February 13, 2006Accepts Medicare Assignment
92.94/100
CMS Quality Rating
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703(479) 521-2752(479) 444-6942 Get Directions Write a Review

NPPES record last updated: December 14, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kevin Wisdom P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN WISDOM P.T. (NPI 1063485670) is an individual physical therapist in Fayetteville, Arkansas, licensed in Arkansas (PT2490) and active in the NPI registry since February 2006. He is a graduate of Other (2000).

NPPES Registry Identity

NPI1063485670
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKEVIN WISDOMCredential: P.T.
Location Address3317 N WIMBERLY DRFayetteville, AR 72703-4056
Mailing AddressPo Box 1608Fayetteville, AR 72702-1608 · (479) 521-2752 · Fax (479) 444-6942
Fax(479) 444-6942
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 13, 2006
Last NPPES UpdateDecember 14, 2010
NPI 1063485670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in AR · PT2490
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

3317 N WIMBERLY DR, Fayetteville, AR 72703

Other Identifiers 3

OtherP00162005AR · Railroad Medicare
Medicare PIN5X947AR
Medicare PIN5X9477318AR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kevin Wisdom P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567434483
PECOS Enrollment IDI20040811000566

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,651 services209 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
556 services175 patients
Application of blood vessel compression device 97016
A blood vessel compression device is applied to control bleeding and promote clotting after a procedure. This device applies pressure to your blood vessels, reducing the chance of excessive bleeding. It's a safe, standard part of many medical procedures.
239 services81 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
202 services58 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
155 services50 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
89 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Occupational Therapist
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physical Therapist
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Occupational Therapist (Hand)
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Occupational Therapist
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physical Therapist
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703
Physical Therapist (Orthopedic)
3317 N WIMBERLY DR, 2ND FLOOR
FAYETTEVILLE, AR 72703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Wisdom's NPI number?

The NPI number for Kevin Wisdom is 1063485670. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Kevin Wisdom located?

Kevin Wisdom practices at 3317 N Wimberly Dr, Fayetteville, AR 72703. The listed phone number is (479) 521-2752.

What is Kevin Wisdom's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kevin Wisdom enrolled in Medicare?

Yes. Kevin Wisdom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Wisdom accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kevin Wisdom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Wisdom was last updated on December 14, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.