Christopher Wylie Zivney

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

406 S Main St
Winnsboro, TX 75494-3226

Phone

(903) 342-6790

NPI assigned

Aug 29, 2018

Last updated

Aug 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1447732250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13353 COUNTY ROAD 1308",
            "city": "WHITEHOUSE",
            "state": "TX",
            "postal_code": "757915102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S MAIN ST",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943226",
            "telephone_number": "903-342-6790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13353 County Road 1308",
            "address_purpose": "LOCATION",
            "city": "Whitehouse",
            "state": "TX",
            "postal_code": "757915102",
            "country_code": "US",
            "telephone_number": "903-283-3962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIVNEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "WYLIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "2025187",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Carol Wilson
• Nancy Karen Winkle
• Winnsboro Health Services PLLC (Winnsboro Internal Medicine)
• Coulson Gage Womack, RD, LD
• Alyssa Wilson Woodall, QMH-P

• Physical Therapy Assistant in Winnsboro, TX
• Providers in Winnsboro, TX by specialty
• Physical Therapy Assistant in Texas

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

Verify at the official NPI Registry.