MATTHEW WISNIEWSKI (NPI# 1659855567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659855567 |
| Entity Type | Individual |
| Full Name | MATTHEW WISNIEWSKI |
| Credential | PTA |
| Practice Address |
310 Racetrack Rd Nw Ste 100 Fort Walton Beach FL 32547-1553 |
| Practice Telephone | 8508894550 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701115 | Matthew Allen Wisniewski | Nurse Practitioner | 6621 Fannin St, Houston, TX 77030-2358 | 2019-10-15 |
| Street Address |
310 RACETRACK RD NW STE 100 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818350 | Jason Redwood Boole | Otolaryngology | 310 Racetrack Rd Nw Ste 100, Fort Walton Beach, FL 32547-1553 | 2005-08-15 |
| 1821466491 | Northwest Florida Ent Pa | Otolaryngology | 310 Racetrack Rd Nw Ste 100, Fort Walton Beach, FL 32547-1553 | 2015-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710598024 | Kayla Paige Weber | Physical Therapist | 928 Mar Walt Dr Bldg E103, Fort Walton Beach, FL 32547-6706 | 2020-08-11 |
| 1265075717 | Axis Physiotherapy Institute | Physical Therapist | 339 Racetrack Rd Nw Ste 18, Fort Walton Beach, FL 32547-1581 | 2019-10-28 |
| 1790328045 | Axis Physiotherapy Institute, LLC | Physical Therapist | 339 Racetrack Rd Nw Ste 18&20, Fort Walton Beach, FL 32547-1538 | 2019-10-18 |
| 1972800639 | Treehouse Therapies, LLC | Physical Therapist | 24 Hollywood Blvd Sw Unit 7, Fort Walton Beach, FL 32548-4893 | 2011-02-16 |
| 1053620914 | M. Catherine Starkey | Physical Therapist | 750 Beachview Dr Ne, Fort Walton Beach, FL 32547-2805 | 2010-09-27 |
| 1902074487 | Jeri Marie Mcaliley | Physical Therapist | 600 Opp Dr, Fort Walton Beach, FL 32548-4493 | 2008-02-18 |
| 1093916660 | Jaclyn Berry | Physical Therapist | 928 Mar Walt Drive Ste 104, Fort Walton Beach, FL 32547 | 2007-05-30 |
| 1013095728 | Meiling Brownfield | Physical Therapist | 928 Mar Walt Dr Ste 104, Fort Walton Beach, FL 32547 | 2006-11-01 |
| 1275642845 | Malcom James Mcdougall | Physical Therapist | 133 Racetrack Rd Nw Ste B, Fort Walton Beach, FL 32547 | 2006-08-29 |
| 1235104472 | Jolanta H. Emanuel | Physical Therapist | 450 Racetrack Road, Suite G, Fort Walton Beach, FL 32547 | 2006-02-21 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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| 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.