Active NPI
Patricia Johnson-Wyman, L.M.T.
- Specialist
- Safety Harbor, FL
National Provider Identifier
1275700775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MM-19694
- Practice address
- 214 Hillcrest Dr
Safety Harbor, FL 34695-4710 - Phone
- (727) 580-6011
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MM-19694 | FL | Primary |
Addresses
Primary practice location
214 Hillcrest Dr
Safety Harbor, FL 34695-4710
Mailing address
214 Hillcrest Dr
Safety Harbor, FL 34695-4710
Phone (727) 580-6011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MM-19694 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1275700775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 HILLCREST DR",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346954710",
"telephone_number": "727-580-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 HILLCREST DR",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346954710",
"telephone_number": "727-580-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON-WYMAN",
"first_name": "PATRICIA",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MM-19694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.