Individual provider Active NPI

Jason A Winburne, PT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1356412019
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4101 McEwen Rd Ste 100
Dallas, TX 75244-5145
Phone
(972) 701-0366
Fax
(972) 701-0372
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4101 McEwen Rd Ste 100
Dallas, TX 75244-5145

Mailing address

18601 Lyndon B Johnson Fwy Ste 116
Mesquite, TX 75150-5629
Phone (972) 270-2277

Other practice location 1

18601 Lyndon B Johnson Fwy Ste 116
Mesquite, TX 75150-5629
Phone (972) 270-2277

Other identifiers 1

IdentifierTypeStateIssuer
8T4192OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000556 TX Practitioner - Physical Therapist in Private Practice 3274576822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Town East Physical Therapy and RehabiliationGroup PAC ID 0547312175, 3 clinicians
Dallas Midtown Physical Therapy and Rehabilitation LLPGroup PAC ID 9234447376, 2 clinicians

Practice addresses (Care Compare)

18601 LBJ Fwy
Suite 116
Mesquite, TX 75150-5629
Phone (972) 270-2277

4101 McEwen Dr
Suite 100
Dallas, TX 75244-5145

4101 McEwen Rd
Suite 100
Dallas, TX 75244-5145
Phone (972) 701-0366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Midtown Physical Therapy and Rehabilitation LLP Physical Therapist CurrentSince Jan 2, 2015 Accepting new patients
Metdalspi, LLC Past Accepting new patients
Orthopedic Manual Physical Therapy Institute of Dallas Inc Physical Therapist PastSince Jul 1, 2002 Accepting new patients

Locations

4101 McEwen Rd
Ste 100
Dallas, TX 75244
Phone (972) 701-0366

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1356412019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 LYNDON B JOHNSON FWY STE 116",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505629",
            "telephone_number": "972-270-2277",
            "fax_number": "972-270-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445145",
            "telephone_number": "972-701-0366",
            "fax_number": "972-701-0372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18601 Lyndon B Johnson Fwy Ste 116",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751505629",
            "country_code": "US",
            "telephone_number": "972-270-2277",
            "fax_number": "972-270-2970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINBURNE",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T4192",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.