Laura Beth Winowiecki, PTA, CLT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502004820 Issued in MI

Practice address

22255 Greenfield Rd Ste 118
Southfield, MI 48075-3700

Phone

(248) 849-3907

NPI assigned

Mar 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Henry Ford Health Providence Hospital

  dba Henry Ford Providence Hospital

  • Pediatrics Physician
  • Southfield, MI
  • NPI 1265497226
  NPD (past)

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336380435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD STE 118",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753700",
            "telephone_number": "248-849-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD STE 118",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753700",
            "telephone_number": "248-849-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22720 Woodward Ave",
            "address_2": "Ste 202",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "MI",
            "postal_code": "48220",
            "country_code": "US",
            "telephone_number": "248-416-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINOWIECKI",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "PTA, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Joseph Winfield Jr., M.D.
• Bonnie Wingert
• Wings of Angel Home Health Care, LLC
• Brooke Winkelman
• Ashley Winkie, LMSW
• Mark Winston
• Irene Janet Wintermyer, PA
• Tova E Winters, NP
• Ruthanne K Wirth, CRNA
• Wisdom Home Health Care Inc

• Physical Therapy Assistant in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapy Assistant in Michigan

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