AMY C WILDENSTEIN MS PT - NPI 1205058104 - Physical Therapist in Tallahassee, FL

Q: What is Amy Wildenstein's NPI number?

The NPI number for Amy Wildenstein is 1205058104. It was assigned to this individual provider in the NPPES registry on May 2, 2007. The provider is also known as Amy C Luvera Ms Pt.

Q: What is Amy Wildenstein's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Q: When was this NPI record last updated?

The NPPES record for Amy Wildenstein was last updated on June 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amy C Wildenstein Ms Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY C WILDENSTEIN MS PT (NPI 1205058104) is an individual neurology provider in Tallahassee, Florida, licensed in Florida (21864) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1205058104

Entity TypeIndividualFemale

Primary Taxonomy2251N0400X

Provider Legal NameAMY C WILDENSTEINCredential: MS PT

Location Address1725 HERMITAGE BLVDTallahassee, FL 32308-7709

Mailing Address224 Myddelton TrceTallahassee, FL 32317-7236 · (941) 465-8906

Phone(850) 325-6301

Fax(850) 325-6302

Sole ProprietorYes

Enumeration DateMay 2, 2007

Last NPPES UpdateJune 30, 2013

✔ NPI 1205058104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251N0400X

License✔ Licensed in FL · 21864

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

1725 HERMITAGE BLVD, Tallahassee, FL 32308

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Other Names 1

Former Name (1)Amy C Luvera Ms Pt

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRISTIN ANNE ELLER COTA

Occupational Therapy Assistant