STEVEN ALEXANDER WIETRZYKOWSKI (NPI# 1215492996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215492996 |
| Entity Type | Individual |
| Full Name | STEVEN ALEXANDER WIETRZYKOWSKI |
| Credential | PT, DPT, CSCS |
| Practice Address |
4650 Nw 39th Place Suite A Gainesville FL 32606 |
| Mailing Address |
5418 Sw 4th Pl Gainesville FL 32607-2013 |
| Practice Telephone | 3522253610 |
| Mailing Telephone | 4197643427 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
PT33590 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT33590 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4650 NW 39TH PLACE SUITE A |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891760195 | Herlevich, Od & Krol, Od P.a. | Eyewear Supplier (Equipment, not the service) | 4650 Nw 39th Place, Suite D, Gainesville, FL 32606 | 2006-02-21 |
| 1780643866 | Nancy E Herlevich | Optometrist | 4650 Nw 39th Place, Suite D, Gainesville, FL 32606 | 2006-03-20 |
| 1881661676 | Norah L. Krol | Optometrist | 4650 Nw 39th Place, Suite D, Gainesville, FL 32606-8157 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652389 | Michael James Watkins | Massage Therapist | 6418 Nw 39th Ave, Gainesville, FL 32606 | 2020-09-06 |
| 1073134813 | Sun View Counseling LLC | Counselor | 3550 Nw 87 Ter., Gainesville, FL 32606 | 2020-05-04 |
| 1588283568 | Jeena Kar | Student in an Organized Health Care Education/Training Program | Uf Psychiatry Residency Training, 4101 Nw 89th Boulevard, Rm 1796, Gainesville, FL 32606 | 2020-04-10 |
| 1467917864 | Marquetta Lee | Social Worker | 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 | 2019-02-10 |
| 1376025742 | Jacob Sanow | Student in an Organized Health Care Education/Training Program | 5200 Nw 43rd St Unit 401, Gainesville, FL 32606 | 2018-09-03 |
| 1750878393 | Taylor Brown | Occupational Therapist | 3850 Nw 83rd St # 201, Gainesville, FL 32606 | 2018-04-19 |
| 1568914471 | Bernard Mitchll | Behavior Technician | 3515 Nw 60th Terrace, Gainesville, FL 32606 | 2016-10-26 |
| 1760839534 | Nancy Christiana Collins | Counselor | 4907 Nw 43rd St C., Gainesville, FL 32606 | 2016-05-20 |
| 1730553140 | Dawn Johnson O'byrne | Counselor | 4041 Nw 37th Place, Suite A, Gainesville, FL 32606 | 2015-11-23 |
| 1225424815 | Dianne Voitle | Acupuncturist | 2727b N.w. 43rd St. Suite 8, Gainesville, FL 32606 | 2015-04-09 |
| Find all providers in zip 32606 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700212883 | Mark D Bishop | Physical Therapist | 5715 Nw 4th Pl, Gainesville, FL 32607-2120 | 2013-09-19 |
| 1346685179 | Ben Jordan | Physical Therapist | 512 Park Creek Ct, Gainesville, GA 30504-4123 | 2013-05-07 |
| 1255412201 | Dennis Scott Silvey | Physical Therapist | 8951 Sw 63rd Pl, Gainesville, FL 32608-8558 | 2006-10-18 |
| 1295730752 | David Sahley | Physical Therapist | 7210 Heritage Village Plz, 101, Gainesville, VA 20155-3071 | 2005-06-20 |
| 1699384297 | Katie B Palmer | Physical Therapist | 13575 Heathcote Blvd Ste 250, Gainesville, VA 20155-6693 | 2020-07-29 |
| 1518472620 | Kim Grace Snider | Physical Therapist | 597 S Enota Dr Ne, Gainesville, GA 30501-2545 | 2017-12-12 |
| 1306392535 | Susan Michet | Physical Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2016-08-28 |
| 1467621672 | Daniel Humberto Garcia | Physical Therapist | 3951 Nw 48th Ter, Suite 111, Gainesville, FL 32606-7228 | 2008-02-22 |
| 1447449665 | Sandie Schoenborn | Physical Therapist | 5200 W Newberry Rd, Suite D-4, Gainesville, FL 32607-6104 | 2007-10-24 |
| 1205944501 | Holistic Therapeutics | Physical Therapist | 5200 W Newberry Rd, Suite D-4, Gainesville, FL 32607-6104 | 2006-08-27 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32606 |
Please comment or provide details below to improve the information on STEVEN ALEXANDER WIETRZYKOWSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.