Carleton Lloyd Weidemeyer
Individual provider Active NPI Physical Therapy Assistant · Spring Hill, FL
NPI 1255001038 · NPPES record last updated Sep 14, 2021
Key facts
- NPI
- 1255001038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA31448 (FL)
- Practice address
- 7045 Evergreen Woods TRL
Spring Hill, FL 34608-1306 - Phone
- (727) 614-1431
- NPI assigned
- Sep 14, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA31448 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA31448 | FL | Yes |
Addresses
Primary practice location
7045 Evergreen Woods TRL
Spring Hill, FL 34608-1306
Mailing address
5407 Panama Ave
Spring Hill, FL 34609-1336
Phone (727) 614-1431
Other providers in Spring Hill, FL
- Valerie Kay Weaver
- Webdoctors Plus, Inc.
- Brian Lloyd Weber
- Gabiele Wegner
- Elizabeth Lasher Wehnes
- Fredrick L Weinberg
- Mitchell Allen Weiner
- Sydney L Weiser
- Wellcome Om Integral Healing & Education Center, LLC
- Anita Ann Wells
All providers in Spring Hill, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.