Active NPI
Steve Wesenhagen
- Physical Therapist
- Riverview, FL
National Provider Identifier
1316318926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22195
- Practice address
- 10510 River Bream Dr
Riverview, FL 33569-2725 - Phone
- (813) 454-7608
- NPI assigned
- Oct 8, 2015
- Last updated
- Oct 8, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22195 | FL | Primary |
Addresses
Primary practice location
10510 River Bream Dr
Riverview, FL 33569-2725
Mailing address
10510 River Bream Dr
Riverview, FL 33569-2725
Phone (813) 454-7608
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 |
|---|---|---|---|
| 22195 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- swesenhagen14326@direct.tgh.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1316318926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10510 RIVER BREAM DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335692725",
"telephone_number": "813-454-7608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10510 RIVER BREAM DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335692725",
"telephone_number": "813-454-7608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESENHAGEN",
"first_name": "STEVE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "22195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.