Individual provider Active NPI

Natalie Marie Winblad, DPT

  • Physical Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1366787129
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39658 Issued in CA
Practice address
10590 Town Center Dr
Rancho Cucamonga, CA 91730-0360
Phone
(909) 948-1124
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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 39658 CA Primary

Addresses

Primary practice location

10590 Town Center Dr
Rancho Cucamonga, CA 91730-0360

Mailing address

555 Guilford Ave.
Claremont, CA 91711
Phone (909) 241-1648

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130213000182 CA Practitioner - Physical Therapist in Private Practice 5597919902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Physical Therapy, Inc.Group PAC ID 6204910417, 7 clinicians

Practice addresses (Care Compare)

10590 Town Ctr Dr
Suite 100
Rancho Cucamonga, CA 91730-0361
Phone (909) 948-1124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39658CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Physical Therapy, Inc. Physical Therapist CurrentSince Nov 27, 2012 Accepting new patients

Locations

10590 Town Center Dr
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 948-1124

Organizations & group practices 1

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": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1366787129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 GUILFORD AVE.",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "91711",
            "telephone_number": "909-241-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 TOWN CENTER DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300360",
            "telephone_number": "909-948-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBLAD",
        "first_name": "NATALIE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.