Active NPI
James Raymond Winkeler, PTA
- Physical Therapy Assistant
- Saint Louis, MO
National Provider Identifier
1356818116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2018026224
- Practice address
- 12335 W Bend Dr
Saint Louis, MO 63128-2160 - Phone
- (877) 931-1590
- NPI assigned
- Oct 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2018026224 | MO | Primary |
Addresses
Primary practice location
12335 W Bend Dr
Saint Louis, MO 63128-2160
Mailing address
3515 Hartford St
Saint Louis, MO 63118-2012
Phone (314) 323-7818
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018026224 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1356818116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 HARTFORD ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631182012",
"telephone_number": "314-323-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12335 W BEND DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282160",
"telephone_number": "877-931-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINKELER",
"first_name": "JAMES",
"middle_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-30",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2018026224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.