Stefan C.M. Wickli, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

82256

Practice address

1810 NW 23Rd Blvd Apt 263
Gainesville, FL 32605-3062

Phone

(216) 308-8207

NPI assigned

Aug 21, 2019

Sex

Male

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1891342101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 NW 23RD BLVD APT 263",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053062",
            "telephone_number": "216-308-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 NW 23RD BLVD APT 263",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053062",
            "telephone_number": "216-308-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLI",
        "first_name": "STEFAN",
        "middle_name": "C.M.",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": "82256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William David Whittlesey Jr., CAA
• Kaylee Whytal, PHARMD
• Elaine Margaret Whyte, FNP-C
• Kirk R Whyte, D.O.
• Loren Whyte, MS, RD
• Carly Ann Wicksell
• Holly Widell, PHARMD
• Charles Glenn Widmer, D.D.S., M.S.
• Jonathan David Wiebold, L.D.O.
• Bret N Wiechmann, MD

• Recreation Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Recreation Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.