Individual provider Active NPI

Michael Tre Winkfield, OTD, OTR

  • Occupational Therapist
  • Georgetown, KY
National Provider Identifier
1053185181
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
288726 Issued in KY
Practice address
205 Rabbit Run Rd
Georgetown, KY 40324-8419
Phone
(502) 209-0081
NPI assigned
Nov 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 288726 KY Primary

Addresses

Primary practice location

205 Rabbit Run Rd
Georgetown, KY 40324-8419

Mailing address

205 Rabbit Run Rd
Georgetown, KY 40324-8419

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

LicenseStateTypeSpecialty
288726KYMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1053185181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RABBIT RUN RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RABBIT RUN RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248419",
            "telephone_number": "502-209-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKFIELD",
        "first_name": "MICHAEL",
        "middle_name": "TRE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "288726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.