JEREMY SHAKOURI WYDRA
NPI 1497480792
Physical Therapist - Orthopedic in Winter Garden, FL

NPI Status: Active since July 20, 2022

Contact Information

4040 WINTER GARDEN VINELAND RD
WINTER GARDEN, FL
ZIP 34787
Phone: (407) 573-3361
Fax: (407) 395-8309

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Physical Therapist
Orthopedic
Accepts Insurance

About JEREMY WYDRA

This page provides the complete NPI Profile along with additional information for Jeremy Wydra, a provider established in Winter Garden, Florida with a medical specialization in Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1497480792 assigned on July 2022. The practitioner's primary taxonomy code is 2251X0800X with license number PT39007 (FL). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI: 1497480792
Provider Name: JEREMY SHAKOURI WYDRA
Gender: Male
Entity Type: Individual
Location Address: 4040 WINTER GARDEN VINELAND RD WINTER GARDEN, FL 34787
Location Phone: (407) 573-3361
Location Fax: (407) 395-8309
Mailing Address: 4040 WINTER GARDEN VINELAND RD WINTER GARDEN, FL 34787
Mailing Phone: (407) 573-3361
Mailing Fax: (407) 395-8309
Is Sole Proprietor?: No
Enumeration Date: 07-20-2022
Last Update Date: 06-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physical Therapist Orthopedic
Taxonomy Code: 2251X0800X
Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.: PT39007
License State: FL
Taxonomy Description: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist
2	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	29148 (MD)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

AvMed

AvMed Entrust Bronze 600 (2026) - HMO
AvMed Entrust Bronze 650 (2026) - HMO
AvMed Entrust Expanded Bronze Standard (2026) - HMO
AvMed Entrust Gold 125 (2026) - HMO
AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
AvMed Entrust Gold Standard (2026) - HMO
AvMed Entrust Platinum 25 (2026) - HMO
AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
AvMed Entrust Platinum Standard (2026) - HMO
AvMed Entrust Silver 350 (2026) - HMO
AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
AvMed Entrust Silver 550 (2026) - HMO
AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
AvMed Entrust Silver Standard (2026) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497480792, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 18 → 1 + 8

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 18 → 1 + 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 4 → 8 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 8 + 8 + 0 + 7 + 1 + 8 + 24 = 78

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2

This NPI is valid

The calculated check digit is 2, which matches the last digit of 1497480792.