Individual provider Active NPI

Eric Brandon Winston, PTA

  • Physical Therapy Assistant
  • Dallas, TX
National Provider Identifier
1114427903
Registry record updated Feb 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2115495 Issued in TX
Practice address
4801 S Buckner Blvd
Dallas, TX 75227-2373
Phone
(214) 381-4800
Fax
(214) 381-4801
NPI assigned
Feb 18, 2018
Last updated
Feb 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2115495 TX Primary

Addresses

Primary practice location

4801 S Buckner Blvd
Dallas, TX 75227-2373

Mailing address

4801 S Buckner Blvd
Dallas, TX 75227-2373
Phone (214) 381-4800

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

LicenseStateTypeSpecialty
2115495TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518912000000",
    "number": "1114427903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752272373",
            "telephone_number": "214-381-4800",
            "fax_number": "214-381-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752272373",
            "telephone_number": "214-381-4800",
            "fax_number": "214-381-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "ERIC",
        "middle_name": "BRANDON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-18",
        "last_updated": "2018-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2115495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2018; 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.