Doug Dustin Buethe, MPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22852 Issued in FL

Practice address

611 W Lumsden Rd
Brandon, FL 33511-5911

Phone

(813) 413-5513

Fax

(844) 757-3726

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimal Performance and Physical Therapies-Riverview, LLC.Group PAC ID 4688985567, 9 clinicians

Optimal Performance and Physical Therapies-Brandon LLCGroup PAC ID 7214104587, 8 clinicians

Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Ohi West Medical Group, LLC

  • Cardiovascular Disease Physician
  • St Petersburg, FL
  • NPI 1518572551
  Medicare reassignment Care Compare group NPD
• Optimal Performance and Physical Therapies-Brandon LLC

  • Physical Therapist
  • Brandon, FL
  • NPI 1407132632
  Medicare reassignment Care Compare group NPD
• Optimal Performance and Physical Therapies-Riverview, LLC

  • Physical Therapist
  • Riverview, FL
  • NPI 1063810505
  Medicare reassignment Care Compare group NPD
• Optimal Performance and Physical Therapies Bradenton LLC

  • Physical Therapy Clinic/Center
  • Bradenton, FL
  • NPI 1962259739

  Physical Therapist

  Medicare reassignment NPD
• Ohi West Medical Group, LLC

  • Radiology Clinic/Center
  • St Petersburg, FL
  • NPI 1285240192
  NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1164528451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-413-5513",
            "fax_number": "844-757-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-413-5513",
            "fax_number": "844-757-3726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1056 E Brandon Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115509",
            "country_code": "US",
            "telephone_number": "813-413-5513",
            "fax_number": "813-681-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11375 Big Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335797183",
            "country_code": "US",
            "telephone_number": "813-805-8167",
            "fax_number": "844-214-1382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUETHE",
        "first_name": "DOUG",
        "middle_name": "DUSTIN",
        "name_prefix": "Mr.",
        "credential": "MPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT22852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Joanne Buchwald, APRN
• Janet Buckley, A.R.N.P.
• Tomika Danielle Buckner, L.P.N
• Stanley Sylvester Budzinski III
• Tyler Bueme
• Jenny L Buffington, M.E., C.C.C.
• Joann M. Buffington, LMHC
• Bradley Lance Bufkin, MD
• William J Bugni, M.D.
• Building Blocks for Life, LLC

• Physical Therapist in Brandon, FL
• Providers in Brandon, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.