Individual provider Active NPI

Janine Wilhelm, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1912519901
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39378 Issued in FL
Practice address
3602 W San Juan St
Tampa, FL 33629-6922
Phone
(813) 833-0090
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 39378 FL Primary
Physical Therapist 225100000X 4128 NE

Addresses

Primary practice location

3602 W San Juan St
Tampa, FL 33629-6922

Mailing address

5857 Grand Sonata Ave
Lutz, FL 33558-5614
Phone (716) 696-2643

Other practice location 1

4614 S 132nd St
Omaha, NE 68137-1764
Phone (402) 330-3211 ext. 119

Other identifiers 1

IdentifierTypeStateIssuer
47065477701MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025001208 FL Practitioner - Physical Therapist in Private Practice 7911324769 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39378FLMDPhysical Therapist
4128NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Spot Physical Therapist CurrentSince Dec 28, 2025 Accepting new patients
Independent Living Inc. CurrentSince Nov 26, 2023 Accepting new patients
Lampert'S Home Therapy, Inc. CurrentSince Sep 23, 2022 Accepting new patients
Independent Living Inc. Physical Therapist PastSince Sep 25, 2022 Accepting new patients

Locations

8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304

6508 Gunn Hwy
Tampa, FL 33625
Phone (813) 963-6923

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1912519901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5857 GRAND SONATA AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585614",
            "telephone_number": "716-696-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 W SAN JUAN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296922",
            "telephone_number": "813-833-0090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4614 S 132nd St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681371764",
            "country_code": "US",
            "telephone_number": "402-330-3211 x119",
            "fax_number": "402-330-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "JANINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "39378",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477701",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.