Johannes Helmert Wijnmaalen, DPT, MBA, MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14616 Issued in FL

Practice address

2040 Short Ave
Odessa, FL 33556-3445

Phone

(727) 372-9922

Fax

(727) 372-8477

NPI assigned

Jun 3, 2008

Last updated

May 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ewing and Thomas, IncGroup PAC ID 2668382052, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Ewing and Thomas, Inc.

  • Physical Therapist
  • New Port Richey, FL
  • NPI 1063400265
  Medicare reassignment Care Compare group NPD Authorized official
• C.O.Moss, D.C. L.L.C.

  • Chiropractor
  • Spring Hill, FL
  • NPI 1891812186
  Medicare reassignment NPD
• Farhan Siddiqi, MD PA

  • Orthopaedic Surgery of the Spine Physician
  • Odessa, FL
  • NPI 1750752291
  Medicare reassignment NPD
• Robinson Chiropractic Inc.

  • Chiropractor
  • Spring Hill, FL
  • NPI 1548603210
  Medicare reassignment NPD
• Spine and Orthopaedic Specialists, PLLC

  • Orthopaedic Surgery Physician
  • Odessa, FL
  • NPI 1487743563
  Medicare reassignment NPD
• Ewing and Thomas, Inc

  • Physical Therapist
  • Spring Hill, FL
  • NPI 1750825261
  NPD Authorized official
• Farhan Siddiqi, MD PA

  • Orthopaedic Surgery Physician
  • Wesley Chapel, FL
  • NPI 1003672700
  NPD

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1962661116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 SHORT AVE",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563445",
            "telephone_number": "727-372-9922",
            "fax_number": "727-372-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 SHORT AVE",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563445",
            "telephone_number": "727-372-9922",
            "fax_number": "727-372-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIJNMAALEN",
        "first_name": "JOHANNES",
        "middle_name": "HELMERT",
        "name_prefix": "Dr.",
        "credential": "DPT, MBA, MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14616",
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "FL",
            "license": "PT14616",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "FL",
            "license": "PT14616",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": "PT14616",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT14616",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT14616",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT14616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Lavin Weeks, ARNP
• Denise Rochelle Wegman
• Jara Weiss, RN
• Wellness With Wander, LLC
• Whitestone Dental LLC
• William S. Maxfield, M.D., LLC
• Madonna P Williams, OTR
• Samantha Daisy Williams
• William S. Wood, MD
• Amy S Yapp, LMT

• Physical Therapist in Odessa, FL
• Providers in Odessa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.