Jeremy Shakouri Wydra
Jeremy Shakouri Wydra is a Physical Therapist in Private Practice in Winter Garden, Florida. Qualified in 2022, 4 years ago. Practices with The University of Central Florida Board of Trustees, a 43-clinician group and accepts Medicare assignment. Licensed in Florida and Maryland.
- Years since qualifying
- 4
- Licensed in
- FL, MD
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
4040 Winter Garden Vineland RdWinter Garden, FL 34787-9502
Phone: (407) 573-3361
Fax: (407) 395-8309
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X · Licence PT39007 (FL) |
|---|---|
| Physical Therapist | Taxonomy 225100000X |
| Physical Therapist | Taxonomy 225100000X · Licence 29148 (MD) |
Record details
| NPI number | 1497480792 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 20, 2022 |
| Last updated in NPPES | June 7, 2023 |
| Certification date | June 7, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | The University Of Central Florida Board Of Trustees — 43 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Winter Garden
-
Dr. Tomas Urbanik
712 Valencia Ct, Winter Garden, FL 34787-2614 · (140) 748-9185
-
Mr. Pablo Jesus Vargas, DPT
4040 Winter Garden Vineland Rd, Winter Garden, FL 34787-9502 · (407) 573-3361
-
Vertical Rehabilitation Services, LLC
405 Tierra Verde Ln, Winter Garden, FL 34787-2691 · (407) 988-6601
-
MS. Juli Lynn Williams, PT
4040 Winter Garden Vineland Rd, Winter Garden, FL 34787-9502 · (407) 573-3361