Wiley, Brian R.
Wiley, Brian R. is an sole proprietor health care provider with primary practice located at 2180 Pickens St Apt 429 , Columbia SC 29201-2786. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Wiley, Brian R. can be contacted via phone (803) 917-1878.Contact Information
Primary practice address
2180 Pickens St Apt 429
Columbia SC 29201-2786
Phone: (803) 917-1878
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 4676 | South Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4676 | South Carolina |
Profile Details
| NPI number | 1497723365 |
|---|---|
| LBN Legal business name | Wiley, Brian R. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Mar 20th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497723365 | NPPES |
| South Carolina | Other | 4676 | PT LICENSE # |
| South Carolina | Other | 861168971 | PT LICENSE # |
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