Michael J Winicki, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21792 Issued in FL

Practice address

8340 Lakewood Ranch Blvd Ste 300
Lakewood Ranch, FL 34202-5046

Phone

(941) 792-1404

Fax

(941) 795-1717

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Orthopedics and Sports Medicine of Southwest Florida PAGroup PAC ID 3274504386, 62 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Coastal Orthopedics & Sports Medicine of Southwest Florida PA

  • Orthopaedic Surgery Physician
  • Bradenton, FL
  • NPI 1285740720
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1154445781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 SR 64 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34212",
            "telephone_number": "941-792-1404",
            "fax_number": "941-795-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD STE 300",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025046",
            "telephone_number": "941-792-1404",
            "fax_number": "941-795-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINICKI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT21792",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT21792",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Y125T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Williams, PA-C
• Kerry Lynn Williams, NP
• Sharla Dawn Williams, L.M.T., C.N.M.T.
• Tanya Velma Lorrane Williams
• Boguslawa Bornik Wilson, RMHI
• Lisa Catherine Wittmann, M.D.
• Casie L. Wodzien, APRN
• Linda Bari Wohl, ED.D.
• Connor Wolfe, DC
• Rachel Wolfe, DC

• Physical Therapist in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.