Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Willem Richard Stegeman, PT, DPT, MTC, CEAS

Individual provider Physical Therapist · NPI 1407995533

Dr. Willem Richard Stegeman, PT, DPT, MTC, CEAS is a Physical Therapist in Private Practice in Tampa, Florida. Qualified in 2005, 21 years ago. Practices with Optimal Performance and Physical Therapies Northdale LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2007
Specialties on file
5
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3903 Northdale Blvd Ste 111W
Tampa, FL 33624-1853
Phone: (813) 418-7350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT12014 (FL)
Physical Therapist Taxonomy 225100000X
Ergonomics Physical Therapist Taxonomy 2251E1200X
Sports Physical Therapist Taxonomy 2251S0007X
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1407995533
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , MTC , CEAS
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESMay 20, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Optimal Performance And Physical Therapies Northdale Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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