Gregory Norwood Winburn, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5376 Issued in SC

Practice address

148 Foothills Ctr Dr
Ste 148
West Union, SC 29696

Phone

(864) 638-6405

Fax

(864) 638-6421

NPI assigned

Dec 18, 2007

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

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ethos Physical Therapy LLCGroup PAC ID 7214427640, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ethos Physical Therapy LLC

  • Physical Therapist
  • Anderson, SC
  • NPI 1366328411
  Medicare reassignment Care Compare group NPD
• Elite Integrated Therapy Centers, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1184673600
  Medicare reassignment NPD

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1457535072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 FOOTHILLS CTR DR",
            "address_2": "STE 148",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "29696",
            "telephone_number": "864-638-6405",
            "fax_number": "864-638-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 FOOTHILLS CTR DR",
            "address_2": "STE 148",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "29696",
            "telephone_number": "864-638-6405",
            "fax_number": "864-638-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBURN",
        "first_name": "GREGORY",
        "middle_name": "NORWOOD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suneela Thulluri, RPH
• Julie Brewer Voss
• Lauren Weaver, DPT, PT
• Amanda Lauren Webb
• Staci Huneycutt Williamson, MSP,CCC-SLP
• Ronald Wooten, P.T.
• Monte S. Wright, PT

• Physical Therapist in West Union, SC
• Providers in West Union, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.