Denise Wiedeman, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT9503 Issued in FL

Practice address

1982 Rockledge Blvd
Suite 102
Rockledge, FL 32955-3760

Phone

(321) 631-5366

NPI assigned

Jun 16, 2009

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Free Motion Physical Therapy of Brevard P.a.

  • Physical Therapist
  • Melbourne, FL
  • NPI 1982798963
  NPD (past)
• Free Motion Physical Therapy of Brevard PA

  • Physical Therapist
  • Rockledge, FL
  • NPI 1467624874
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1508093642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 ROCKLEDGE BLVD",
            "address_2": "SUITE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553760",
            "telephone_number": "321-631-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1982 ROCKLEDGE BLVD",
            "address_2": "SUITE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553760",
            "telephone_number": "321-631-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDEMAN",
        "first_name": "DENISE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie White, PHARM.D.
• Shanda Whitfield, BA
• David Whitley
• Whyte'S Wellness Consults, PLLC
• Allison Widmayer
• Christopher J Wiedemann
• Elizabeth Marian Wilder, LMHC
• Cassandra Wilkerson
• Karen Wilkes
• Jasmyn Willaims

• Occupational Therapist in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.