Active NPI
Victoria Winbow, DPT
- Physical Therapist
- Lynnwood, WA
National Provider Identifier
1043556657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60820330
- Practice address
- 3105 Alderwood Mall Blvd Ste H
Lynnwood, WA 98036-4703 - Phone
- (425) 582-5902
- NPI assigned
- Dec 31, 2012
- 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 Therapist | 225100000X | PT60820330 | WA | Primary |
Addresses
Primary practice location
3105 Alderwood Mall Blvd Ste H
Lynnwood, WA 98036-4703
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60820330 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1043556657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 ALDERWOOD MALL BLVD STE H",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364703",
"telephone_number": "425-582-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINBOW",
"first_name": "VICTORIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-31",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60820330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.