Active NPI
Robert J Wincowski, SLP
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1487288544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 102263
- Practice address
- 6913 Camp Bowie Blvd Ste 121
Fort Worth, TX 76116-7164 - Phone
- (817) 995-4322
- NPI assigned
- Feb 27, 2020
- Last updated
- Feb 27, 2020
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 102263 | TX | Primary |
Addresses
Primary practice location
6913 Camp Bowie Blvd Ste 121
Fort Worth, TX 76116-7164
Mailing address
5613 Covey LN
Wichita Falls, TX 76310-1788
Phone (817) 995-4233
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102263 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Healthcare LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Fort Worth, TX
- NPI 1942840459
-
- Community Based Hospice Care Agency
- Wichita Falls, TX
- NPI 1841816733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1487288544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5613 COVEY LN",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763101788",
"telephone_number": "817-995-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6913 CAMP BOWIE BLVD STE 121",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761167164",
"telephone_number": "817-995-4322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINCOWSKI",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "102263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.