Individual provider Active NPI

Winston Love Edmond, PT

  • Physical Therapist
  • Lancaster, CA
National Provider Identifier
1285332387
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303769 Issued in CA
Practice address
44501 16TH St W Ste 107
Lancaster, CA 93534-2884
Phone
(661) 974-7033
Fax
(661) 974-7022
NPI assigned
Feb 17, 2023
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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 303769 CA Primary

Addresses

Primary practice location

44501 16TH St W Ste 107
Lancaster, CA 93534-2884

Mailing address

44501 16TH St W Ste 107
Lancaster, CA 93534-2884
Phone (661) 974-7033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230508001690 CA Practitioner - Physical Therapist in Private Practice 5294190633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Physical Therapy Collaborative, a California CorpGroup PAC ID 7214316900, 5 clinicians

Practice addresses (Care Compare)

13320 Riverside Dr
Suite 208
Sherman Oaks, CA 91423-2512
Phone (818) 405-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehab and Sports Therapy Physical Therapist CurrentSince May 1, 2023 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
California Rehab & Sports Therapy CurrentSince May 1, 2023 Accepting new patients
The Physical Therapy Collaborative, a California Corp. Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

44501 16th St W
Ste 107
Lancaster, CA 93534
Phone (661) 974-7033

13320 Riverside Dr
Ste 208
Sherman Oaks, CA 91423
Phone (818) 405-0800

19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1285332387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44501 16TH ST W STE 107",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342884",
            "telephone_number": "661-974-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44501 16TH ST W STE 107",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342884",
            "telephone_number": "661-974-7033",
            "fax_number": "661-974-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMOND",
        "first_name": "WINSTON",
        "middle_name": "LOVE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.