Derek Wiston (NPI# 1972015600, PAC ID# 0143580233) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1972015600 |
| PAC ID by PECOS | 0143580233 |
| Professional Enrollment ID | I20180209002486 |
| Full Name | Derek Wiston |
| Organization Legal Name | FLORIDA MOVEMENT THERAPY CENTER-PLANTATION LLC |
| Address |
1825 N Pine Island Rd Plantation FL 33322-5207 |
| Phone Number | 9549002594 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 3577811181 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 21345 Powerline Rd, Suite 100, Boca Raton, FL 33433-2317 | 5618837800 | FLORIDA MOVEMENT THERAPY CENTER-BOCA RATON, LLC |
| 1825 N Pine Island Rd, Plantation, FL 33322-5207 | 9549002594 | FLORIDA MOVEMENT THERAPY CENTER-PLANTATION LLC |
| Organization Legal Name | FLORIDA MOVEMENT THERAPY CENTER-PLANTATION LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Steinhardt | Physical Therapy | Florida Movement Therapy Center-plantation LLC | 1825 N Pine Island Rd, Plantation, FL 33322-5207 |
| Tucker Wrights | Occupational Therapy | Florida Movement Therapy Center-plantation LLC | 1825 N Pine Island Rd, Plantation, FL 33322-5207 |
| Laura Hutira | Physical Therapy | Florida Movement Therapy Center-plantation LLC | 1825 N Pine Island Rd, Plantation, FL 33322-5207 |
| Natasha Marie Petrovich | Physical Therapy | Florida Movement Therapy Center-plantation LLC | 1825 N Pine Island Rd, Plantation, FL 33322-5207 |
| Deana L Mauro | Qualified Speech Language Pathologist | Florida Movement Therapy Center-plantation LLC | 1825 N Pine Island Rd, Plantation, FL 33322-5207 |
| Street Address |
1825 N PINE ISLAND RD |
| City | PLANTATION |
| State | FL |
| Zip | 33322-5207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Steinhardt | Physical Therapy | Florida Movement Therapy Center-plantation LLC | 1825 N Pine Island Rd, Plantation, FL 33322-5207 |
| Tucker Wrights | Occupational Therapy | Florida Movement Therapy Center-plantation LLC | 1825 N Pine Island Rd, Plantation, FL 33322-5207 |
| Laura Hutira | Physical Therapy | Florida Movement Therapy Center-plantation LLC | 1825 N Pine Island Rd, Plantation, FL 33322-5207 |
| Natasha Marie Petrovich | Physical Therapy | Florida Movement Therapy Center-plantation LLC | 1825 N Pine Island Rd, Plantation, FL 33322-5207 |
| Deana L Mauro | Qualified Speech Language Pathologist | Florida Movement Therapy Center-plantation LLC | 1825 N Pine Island Rd, Plantation, FL 33322-5207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha D Cedeno | Family Medicine | Continucare Medical Management Inc | 2900 N University Dr, Sunrise, FL 33322-1645 |
| Raymond Molano | Internal Medicine | Continucare Medical Management Inc | 2900 N University Dr, Sunrise, FL 33322-1645 |
| Seth B Cutler | Ophthalmology | Eye Physicians of Florida LLP | 2500 N University Dr, Suite 14, Sunrise, FL 33322-3003 |
| Marc A Lurie | Optometry | Marc A Lurie O D P A | 8259 Sunset Strip, Sunrise, FL 33322-3058 |
| Avery Rubin | Psychologist, Clinical | 8500 W Sunrise Blvd, Plantation, FL 33322-4017 | |
| Fredy Otalora | Optometry | Eye Physicians of Florida LLP | 8051 W Sunrise Blvd, Plantation, FL 33322-4103 |
| Hassan Tavakkoli | Ophthalmology | Eye Physicians of Florida LLP | 8051 W Sunrise Blvd, Plantation, FL 33322-4103 |
| Robert S Horowitz | Optometry | 1767 N University Dr, Plantation, FL 33322-4111 | |
| Dean L Fishman | Chiropractic | Dean L Fishman Dc Pa | 1751 N University Dr, Plantation, FL 33322-4111 |
| Maurice D Davis | Physical Therapy | Dean L Fishman Dc Pa | 1751 N University Dr, Plantation, FL 33322-4111 |
| Find all physicians in zip 33322 | |||
| City | PLANTATION |
| Zip Code | 33322 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | PLANTATION + OCCUPATIONAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.