Steven Alexander Wietrzykowski, PT, DPT, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT33590 Issued in FL

Practice address

4650 NW 39TH Place
Suite a
Gainesville, FL 32606

Phone

(352) 225-3610

NPI assigned

Feb 6, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1215492996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 SW 4TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072013",
            "telephone_number": "419-764-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 NW 39TH PLACE",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32606",
            "telephone_number": "352-225-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIETRZYKOWSKI",
        "first_name": "STEVEN",
        "middle_name": "ALEXANDER",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT33590",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT33590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne Wiedenhofer, PA
• Ashley Brooke Wiegand, CCC-SLP
• Amy Wiemers
• Brenda Ann Wiens, PHD
• Klaas J Wierenga, MD
• Claudia Wiggins-Camps
• Julie Wiggins
• Michael Wiggins, MD
• Tamesha Wiggins, LCSW
• Walker Lloyd Wiggins, DMD

• Orthopedic Physical Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.