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

Sebastian Wikstrom

Individual provider Physical Therapist · NPI 1932474061

Sebastian Wikstrom is a Physical Therapist in Private Practice in Port Orange, Florida. Qualified in 2010, 16 years ago. Practices with Hernando Healthcare Associates PA, a 12-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2012
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Practice location Address checks out

5535 S Williamson Blvd Ste 774
Port Orange, FL 32128-8311
Phone: (386) 756-4935
Fax: (386) 944-7202
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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 PT26000 (FL)

Record details

NPI number1932474061
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2012
Last updated in NPPESMarch 22, 2012
Mailing address1010 N Swallowtail Dr, Apt 201, Port Orange, FL 32129-9623

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Hernando Healthcare Associates Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Orange