Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Doug Dustin Buethe, MPT, CSCS

Individual provider Physical Therapist · NPI 1164528451

Mr. Doug Dustin Buethe, MPT, CSCS is a Physical Therapist in Private Practice in Brandon, Florida. Qualified in 2004, 22 years ago. Practices with Optimal Performance and Physical Therapies-Riverview, LLC, a 9-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

611 W Lumsden Rd
Brandon, FL 33511-5911
Phone: (813) 413-5513
Fax: (844) 757-3726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1056 E Brandon Blvd, Brandon, FL 33511-5509 — (813) 413-5513
  • 11375 Big Bend Rd, Riverview, FL 33579-7183 — (813) 805-8167

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT22852 (FL)

Record details

NPI number1164528451
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT , CSCS
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Optimal Performance And Physical Therapies-Riverview, Llc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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