Organization Active NPI

Winning Physical Medicine and Rehabilitation Programs PLLC

  • Physical Medicine & Rehabilitation Physician
  • Greenville, TX
National Provider Identifier
1104281468
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P7369 Issued in TX
Legal business name
WINNING PHYSICAL MEDICINE AND REHABILITATION PROGRAMS PLLC
Practice address
4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone
(903) 408-5000
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
William Winn, D.O.NPI 1114957610
Title
Owner
Phone
(817) 284-9850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X P7369 TX Primary

Addresses

Primary practice location

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852

Mailing address

PO Box 733196
Dallas, TX 75373-3196
Phone (817) 284-9850

Other identifiers 1

IdentifierTypeStateIssuer
355115201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160121002602 TX Part B Supplier - Clinic/Group Practice 8325341548 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, TX

National Provider Directory

National Provider Directory

Locations

4501 Joe Ramsey Blvd E
Ste E
Greenville, TX 75401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1104281468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733196",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733196",
            "telephone_number": "817-284-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNING PHYSICAL MEDICINE AND REHABILITATION PROGRAMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-284-9850",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P7369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355115201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.