Individual provider Active NPI

Eric Breitweiser, DPT, ATC

  • Physical Therapist
  • Trinity, FL
National Provider Identifier
1164191979
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37801 Issued in FL
Practice address
2044 Trinity Oaks Blvd Ste 110
Trinity, FL 34655-4405
Phone
(813) 978-9700
NPI assigned
Sep 7, 2021
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT37801 FL Primary

Addresses

Primary practice location

2044 Trinity Oaks Blvd Ste 110
Trinity, FL 34655-4405

Mailing address

300 Herons Run Dr Apt 451
Sarasota, FL 34232-1764
Phone (770) 689-7335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916002004 FL Practitioner - Physical Therapist in Private Practice 4789081837 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians

Practice addresses (Care Compare)

38051 Market Square Dr
Suite 121
Zephyrhills, FL 33542-7504
Phone (813) 779-2057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III PL CurrentSince Nov 8, 2024 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Nov 13, 2023 Accepting new patients
Musculoskeletal Institute Chartered Current Accepting new patients
Ohi West Medical Group II LLC CurrentSince Aug 11, 2025 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Nov 13, 2023 Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Nov 8, 2024 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Aug 11, 2025 Accepting new patients
Coastal Orthopedics & Sports Medicine of Southwest Florida PA Past Accepting new patients
Musculoskeletal Institute Chartered Past Accepting new patients
Tallahassee Orthopedic Clinic III PL Past Accepting new patients
Ohi West Medical Group II LLC Past Accepting new patients

Locations

2011 Harrison Ave
Panama City, FL 32405
Phone (850) 691-4188

803 W Main St
Perry, FL 32347
Phone (850) 584-7078

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

13020 N Telecom Pkwy
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

5901 E Fowler Ave
Ste 100
Temple Terrace, FL 33617
Phone (813) 987-9700

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

38051 Market Square Dr
Ste 121
Zephyrhills, FL 33542
Phone (813) 779-2057

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1164191979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HERONS RUN DR APT 451",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321764",
            "telephone_number": "770-689-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 TRINITY OAKS BLVD STE 110",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554405",
            "telephone_number": "813-978-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITWEISER",
        "first_name": "ERIC",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.