MADISON WISE (PT, DPT) – Physical Therapist, NPI 1043985492

MADISON WISE (PT, DPT) is a healthcare provider. based in Live oak, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1349214 (TX). The NPI Number for MADISON WISE (PT, DPT) is 1043985492

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MADISON WISE (PT, DPT)
NPI
1043985492
Phone
(210) 653-2400
Address
7909 PAT BOOKER RD
Enumeration Date
9 August 2021
Last Update Date
9 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3256983865
Graduation Year
2021 (5 years ago)
PAC ID
6103221585
Group Practice PAC ID
2365629367
Professional Enrollment ID
I20210823003209
Address ID
TX796065209AB2074XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for MADISON WISE (PT, DPT)

  • 7909 PAT BOOKER RD

    LIVE OAK, TX 782332602

    Phone: (210) 653-2400

    Fax: (210) 653-2422

    Type: Location

  • 8627 CINNAMON CREEK DR STE 402

    SAN ANTONIO, TX 782401482

    Phone: (210) 653-2400

    Fax: (210) 653-2422

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210823003209IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes443100$0
97530Therapy procedure using functional activities36377$0
97150Therapy procedure in a group setting31191$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29777$0
97140Therapy procedure using manual technique, each 15 minutes20256$0
View full utilization report →

Insurance plans in this area (ZIP 78233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365629367View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
P O D I A T R YTX
-TX
Physical Therapist In Private PracticeTX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

Can I use this page to confirm MADISON WISE (PT, DPT)'s NPI?
Yes. MADISON WISE (PT, DPT) is listed with NPI 1043985492 in the public NPI dataset.
Is MADISON WISE (PT, DPT) listed as active for patients and plans?
The listing shows MADISON WISE (PT, DPT) as active in the NPI system.
What taxonomy line describes MADISON WISE (PT, DPT)?
For research purposes, treat MADISON WISE (PT, DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does MADISON WISE (PT, DPT) list a practice location?
Patients near Live Oak, Texas may find MADISON WISE (PT, DPT) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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