Individual provider Active NPI

Robin Davenport Winslow, PTA

  • Physical Therapy Assistant
  • Ahoskie, NC
National Provider Identifier
1518309038
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A5177 Issued in NC
Practice address
312 Academy St S # G
Ahoskie, NC 27910-3200
Phone
(252) 578-9078
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A5177 NC Primary

Addresses

Primary practice location

312 Academy St S # G
Ahoskie, NC 27910-3200

Mailing address

1034 Simpson Rd
Jamesville, NC 27846-9668
Phone (252) 661-1709

Other practice location 1

200 Trade St
Tarboro, NC 27886-5055
Phone (252) 823-8100

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A5177NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Big Heart International Trading LLC Physical Therapist CurrentSince Jun 6, 2021 Accepting new patients

Locations

312 Academy St S
Ste G
Ahoskie, NC 27910
Phone (252) 276-2194

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1518309038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 SIMPSON RD",
            "city": "JAMESVILLE",
            "state": "NC",
            "postal_code": "278469668",
            "telephone_number": "252-661-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 ACADEMY ST S # G",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103200",
            "telephone_number": "252-578-9078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Trade St",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "278865055",
            "country_code": "US",
            "telephone_number": "252-823-8100",
            "fax_number": "252-823-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINSLOW",
        "first_name": "ROBIN",
        "middle_name": "DAVENPORT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A5177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.