Individual provider Active NPI

Ronald P. Winicki, P.T.

  • Physical Therapist
  • Garden City, NY
National Provider Identifier
1356364004
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013007-0 Issued in NY
Practice address
833-855 Franklin Ave.
Garden City, NY 11530
Phone
(516) 741-4555
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 013007-0 NY Primary

Addresses

Primary practice location

833-855 Franklin Ave.
Garden City, NY 11530

Mailing address

625 Merrick Ave
East Meadow, NY 11554-3740
Phone (516) 564-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080401000586 NY Practitioner - Physical Therapist in Private Practice 9436236445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

617 Merrick Ave
East Meadow, NY 11554-3740
Phone (516) 564-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013007-0NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Sports Physiotherapy of East Meadow, PC CurrentSince Jan 9, 2001 Accepting new patients
Island Sports Physiotherapy of East Meadow PC CurrentSince Jan 9, 2001 Accepting new patients
Island Sports Physiotherapy, PC Past Accepting new patients

Locations

625 Merrick Ave
East Meadow, NY 11554
Phone (516) 564-9000

617 Merrick Ave
East Meadow, NY 11554
Phone (516) 564-9000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356364004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543740",
            "telephone_number": "516-564-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833-855 FRANKLIN AVE.",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-741-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINICKI",
        "first_name": "RONALD",
        "middle_name": "P.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013007-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.