NPIMap

Individual provider Active NPI

Stacy Lynn Winans, DPT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1174876874
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39077 Issued in CA
Practice address
2763 E Shaw Ave Ste 102
Fresno, CA 93710-8220
Phone
(559) 294-8112
Fax
(559) 294-7805
NPI assigned
Oct 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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 39077 CA Primary

Addresses

Primary practice location

2763 E Shaw Ave Ste 102
Fresno, CA 93710-8220

Mailing address

2763 E Shaw Ave Ste 102
Fresno, CA 93710-8220
Phone (559) 294-8112

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Continence Care, Inc CurrentSince Dec 1, 2012 Accepting new patients
Creative Therapeutics Physical Therapy, Inc. Physical Therapist PastSince Dec 1, 2012 Accepting new patients

Locations

2763 E Shaw Ave
Ste 102
Fresno, CA 93710
Phone (559) 294-8112

Organizations & group practices 2

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": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1174876874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 E SHAW AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108220",
            "telephone_number": "559-294-8112",
            "fax_number": "559-294-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2763 E SHAW AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108220",
            "telephone_number": "559-294-8112",
            "fax_number": "559-294-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINANS",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.