Active NPI
Jannis B Winstead, P.T, DPT
- Orthopedic Physical Therapist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 033308-1
- Practice address
- 907 E Tremont Ave
Bronx, NY 10460-4301 - Phone
- (718) 589-9588
- Fax
- (718) 589-9589
- NPI assigned
- Sep 2, 2012
- Last updated
- Apr 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033308-1 | NY | |
| Geriatric Physical Therapist | 2251G0304X | 033308-1 | NY | |
| Neurology Physical Therapist | 2251N0400X | 033308-1 | NY | |
| Pediatric Physical Therapist | 2251P0200X | 033308-1 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 033308-1 | NY | Primary |
Addresses
Primary practice location
907 E Tremont Ave
Bronx, NY 10460-4301
Mailing address
174 Grand St
White Plains, NY 10601-4803
Phone (914) 328-8077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1310 Pennsylvania Ave
Brooklyn, NY 11239-1921
Phone (718) 642-1100
973 Fulton St
Brooklyn, NY 11238-2346
Phone (718) 230-1180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033308-1 | NY | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| R.G. Medical, PC | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
973 Fulton St
Brooklyn, NY 11238
Phone (718) 230-1180
550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1497004766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 GRAND ST",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014803",
"telephone_number": "914-328-8077",
"fax_number": "914-328-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104604301",
"telephone_number": "718-589-9588",
"fax_number": "718-589-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINSTEAD",
"first_name": "JANNIS",
"middle_name": "B",
"credential": "P.T, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-02",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033308-1",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "033308-1",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NY",
"license": "033308-1",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "033308-1",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "033308-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.