Active NPI
Theresa Audrey Winnie, PTA
- Physical Therapy Assistant
- Homosassa, FL
National Provider Identifier
1023256633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA21570
- Practice address
- 8477 S Suncoast Blvd
Homosassa, FL 34446-5028 - Phone
- (800) 381-0822
- Fax
- (525) 655-2013
- NPI assigned
- Feb 4, 2009
- Last updated
- Feb 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA21570 | FL | Primary |
Addresses
Primary practice location
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Mailing address
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (800) 381-0822
Other practice location 1
20726 W Pennsylvania Ave
Dunnellon, FL 34431-6717
Phone (352) 465-5880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106898 | Other | FL | MEDICARE ID |
Other names 1
- Ms. Theresa Audrey Winnie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA21570 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Rehab, LLC | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Hernando, FL
- NPI 1548237118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1023256633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8477 S SUNCOAST BLVD",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344465028",
"telephone_number": "800-381-0822",
"fax_number": "525-655-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8477 S SUNCOAST BLVD",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344465028",
"telephone_number": "800-381-0822",
"fax_number": "525-655-2013"
}
],
"practiceLocations": [
{
"address_1": "20726 W Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Dunnellon",
"state": "FL",
"postal_code": "344316717",
"country_code": "US",
"telephone_number": "352-465-5880",
"fax_number": "352-465-5889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINNIE",
"first_name": "THERESA",
"middle_name": "AUDREY",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA21570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "106898",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "WINNIE",
"middle_name": "AUDREY",
"prefix": "MS.",
"credential": "PTA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Homosassa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.