Individual provider Active NPI

Randy Bryan Wiemer, PT

  • Physical Therapist
  • Palm Harbor, FL
National Provider Identifier
1851350805
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7244 Issued in FL
Practice address
3488 E Lake Rd
Suite 301
Palm Harbor, FL 34685-2404
Phone
(727) 771-7377
NPI assigned
Mar 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7244 FL Primary

Addresses

Primary practice location

3488 E Lake Rd
Suite 301
Palm Harbor, FL 34685-2404

Mailing address

4326 Oklawaha LN
New Port Richey, FL 34655-1634
Phone (727) 372-3437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805001869 FL Practitioner - Physical Therapist in Private Practice 8921497470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2155 W Mustang Blvd
Beverly Hills, FL 34465-3520
Phone (352) 746-5707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nature Coast Orthopaedics & Sports Medicine Clinic, PA CurrentSince Jun 23, 2025 Accepting new patients
The Villages Rehabilitation Services LLC Physical Therapist PastSince Jan 1, 2022 Accepting new patients
TLC Rehab, LLC Physical Therapist PastSince Oct 1, 2021 Accepting new patients

Locations

2155 W Mustang Blvd
Beverly Hills, FL 34465
Phone (352) 282-3998

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851350805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 OKLAWAHA LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551634",
            "telephone_number": "727-372-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3488 E LAKE RD",
            "address_2": "SUITE 301",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852404",
            "telephone_number": "727-771-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEMER",
        "first_name": "RANDY",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.