Individual provider Active NPI

Tel William Winegar, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1114410032
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3736 Issued in NV
Practice address
8402 Centennial Pkwy
Las Vegas, NV 89149-4792
Phone
(702) 731-1616
Fax
(702) 294-7494
NPI assigned
Jun 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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 3736 NV Primary

Addresses

Primary practice location

8402 Centennial Pkwy
Las Vegas, NV 89149-4792

Mailing address

8402 Centennial Pkwy
Las Vegas, NV 89149-4792
Phone (702) 731-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210422000555 OR Practitioner - Physical Therapist in Private Practice 5395095814
I20260128000728 TX Practitioner - Physical Therapist in Private Practice 5395095814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yellowhawk Tribal Health CenterGroup PAC ID 6608924121, 17 clinicians

Practice addresses (Care Compare)

46314 Timine Way
Pendleton, OR 97801-9417
Phone (541) 966-9830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3736NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yellowhawk Tribal Health Center CurrentSince Jan 16, 2026 Accepting new patients

Locations

46314 Timine Way
Pendleton, OR 97801
Phone (541) 966-9830

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1114410032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 CENTENNIAL PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494792",
            "telephone_number": "702-731-1616",
            "fax_number": "702-294-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 CENTENNIAL PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494792",
            "telephone_number": "702-731-1616",
            "fax_number": "702-294-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEGAR",
        "first_name": "TEL",
        "middle_name": "WILLIAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.