Individual provider Active NPI

Winona Ross, PT

  • Physical Therapist
  • Burleson, TX
National Provider Identifier
1093533655
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1226722 Issued in TX
Practice address
437 SW Wilshire Blvd Ste B
Burleson, TX 76028-5300
Phone
(817) 916-0878
Fax
(817) 916-0879
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1226722 TX Primary

Addresses

Primary practice location

437 SW Wilshire Blvd Ste B
Burleson, TX 76028-5300

Mailing address

437 SW Wilshire Blvd Ste B
Burleson, TX 76028-5300
Phone (817) 916-0878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025000654 TX Practitioner - Physical Therapist in Private Practice 0547793887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1226722TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Pepper Physical Therapy LLC Physical Therapist CurrentSince Oct 29, 2024 Accepting new patients

Locations

437 SW Wilshire Blvd
Ste B
Burleson, TX 76028
Phone (817) 904-5070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1093533655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 SW WILSHIRE BLVD STE B",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285300",
            "telephone_number": "817-916-0878",
            "fax_number": "817-916-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 SW WILSHIRE BLVD STE B",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285300",
            "telephone_number": "817-916-0878",
            "fax_number": "817-916-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "WINONA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1226722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.