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DR. JONATHAN BIRCHLER WISE DPT, PT, MS, ATC
NPI 1346613437
Physical Therapist - Sports in Bloomington, MN

Active since November 11, 2015Accepts Medicare Assignment
3800 AMERICAN BLVD W # 200, BLOOMINGTON, MN 55431(952) 831-8742 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2022, Nov 11, 2015 (2 updates tracked since 2015).

About Dr. Jonathan Birchler Wise Dpt, Pt, Ms, Atc NPPES

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

DR. JONATHAN BIRCHLER WISE DPT, PT, MS, ATC (NPI 1346613437) is an individual sports provider in Bloomington, Minnesota, licensed in Minnesota (12745) and active in the NPI registry since November 2015. He maintains a secondary practice location in Bloomington and is a graduate of Other (2022).

NPPES Registry Identity

NPI1346613437
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameDR. JONATHAN BIRCHLER WISECredential: DPT, PT, MS, ATC
Location Address3800 AMERICAN BLVD W # 200Bloomington, MN 55431-4420
Mailing Address13643 Brick PathRosemount, MN 55068-2471 · (608) 963-9526
Phone(952) 831-8742
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 11, 2015
Last NPPES UpdateJuly 6, 20222 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
✔ NPI 1346613437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in MN · 12745
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 36002462A (IN)
3800 AMERICAN BLVD W # 200, Bloomington, MN 55431
Open in Google Maps ↗

Secondary Practice Location 1

Location 11025 E 7th St Rm C200Bloomington, IN 47405-7109 · Phone (812) 855-3114

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Birchler Wise Dpt, Pt, Ms, Atc 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 ID5890179584
PECOS Enrollment IDI20220830000586

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Wise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tria Orthopaedic Center LLC
0.1 mi
Orthopaedic Surgery
8100 NORTHLAND DR
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 693 clinicians in this Medicare group
NPI 1346624384 (952) 831-8742

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
280 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.
98 services35 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.
55 services19 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
20 services19 patients

Other Providers at the Same Location NPPES 5

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

MATT KURILLA PTA
Physical Therapy Assistant
3800 AMERICAN BLVD W # 200
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
WAHEED MOMOH
Physical Therapist (Orthopedic)
3800 AMERICAN BLVD W # 200
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
BROOKE TORVIK PT, DPT
Physical Therapist
3800 AMERICAN BLVD W # 200
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
ALEXANDRA LEA ORLOWSKY PT, DPT
Physical Therapist
3800 AMERICAN BLVD W # 200
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
DR. ETHAN BLANKESPOOR PT, DPT
Physical Therapist
3800 AMERICAN BLVD W # 200
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742

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 Jonathan Wise's NPI number?

The NPI number for Jonathan Wise is 1346613437. It was assigned to this individual provider in the NPPES registry on November 11, 2015.

Where is Jonathan Wise located?

Jonathan Wise practices at 3800 American Blvd W # 200, Bloomington, MN 55431. The listed phone number is (952) 831-8742.

What is Jonathan Wise's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Jonathan Wise enrolled in Medicare?

Yes. Jonathan Wise 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.

Which organization bills Medicare for Jonathan Wise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Wise reassigns Medicare benefits to Tria Orthopaedic Center LLC (Bloomington, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Wise was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.