Active NPI
Patrice Marie Winter, PT
- Physical Therapist
- Fairfax, VA
National Provider Identifier
1417037367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305001237
- Practice address
- 10525 West Dr
Fairfax, VA 22030-4230 - Phone
- (703) 934-9411
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- 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 Therapist | 225100000X | 2305001237 | VA | Primary |
Addresses
Primary practice location
10525 West Dr
Fairfax, VA 22030-4230
Mailing address
3502 Old Post Rd
Fairfax, VA 22030-2025
Phone (703) 385-9817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305001237 | Other | VA | PHYSICAL THERAPY STATE LI |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Physical Therapy, Incorporated | Physical Therapist | Past | Accepting new patients |
| Hand-N-Hand Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Virginia Pediatric and Adolescent Medicine | Past | Accepting new patients |
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.
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- Physical Therapist
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- NPI 1407875685
-
- Pediatrics Physician
- Arlington, VA
- NPI 1376733782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1417037367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 OLD POST RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302025",
"telephone_number": "703-385-9817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10525 WEST DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304230",
"telephone_number": "703-934-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTER",
"first_name": "PATRICE",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305001237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY STATE LI",
"identifier": "2305001237",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.