Active NPI
Lisa Kathleen Winne, PT
- Geriatric Physical Therapist
- Austin, TX
National Provider Identifier
1063574341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 1138071
- Practice address
- 2500 Barton Creek Blvd
Austin, TX 78735-1603 - Phone
- (512) 617-9805
- NPI assigned
- Dec 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 1138071 | TX | Primary |
| Physical Therapist | 225100000X | 1138071 | TX |
Addresses
Primary practice location
2500 Barton Creek Blvd
Austin, TX 78735-1603
Mailing address
8901 Verona TRL
Austin, TX 78749-4967
Phone (803) 640-5429
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 |
|---|---|---|---|
| 1138071 | TX | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1063574341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 VERONA TRL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787494967",
"telephone_number": "803-640-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 BARTON CREEK BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787351603",
"telephone_number": "512-617-9805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINNE",
"first_name": "LISA",
"middle_name": "KATHLEEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TX",
"license": "1138071",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1138071",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.