Kimberly Rose Wiechmann, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11809-24 Issued in WI

Practice address

15751 San Carlos Blvd
Fort Myers, FL 33908-3314

Phone

(339) 237-3729

NPI assigned

Jun 30, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apex Physical Therapy of Southwest Florida, Inc.

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1821014069
  NPD
• Concepts in Rehab Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fort Myers, FL
  • NPI 1558458273
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1033406830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W125 OOSTY AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530665532",
            "telephone_number": "262-424-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15751 SAN CARLOS BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083314",
            "telephone_number": "339-237-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECHMANN",
        "first_name": "KIMBERLY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11809-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wholistic Motus LLC
• Anthony David Whyte, M.D.
• Wickshire Fort Myers Opco LLC
• Chelsey Widener
• Alyssa Renee Wiebel, PA
• Ana Paula Tosta Wiedner, NP
• Eric Wiest, PT, DPT
• Duane A. Wiggins, M.D.
• Amanda Marie Wiggs, PA
• Nicole Wilcox, NP

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.