Individual provider Active NPI

Trevor D Winnegge, DPT

  • Physical Therapist
  • Attleboro, MA
National Provider Identifier
1568470698
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01588 Issued in RI
Practice address
281 County St
Attleboro, MA 02703-3511
Phone
(508) 226-2213
Fax
(508) 431-2637
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT01588 RI Primary

Addresses

Primary practice location

281 County St
Attleboro, MA 02703-3511

Mailing address

281 County St
Attleboro, MA 02703-3511
Phone (508) 226-2213

Other identifiers 6

IdentifierTypeStateIssuer
29647-4OtherRIBC/BS OF RI
9383072OtherRIPHCS
4075OtherRINEIGHBORHOOD HEALTH
410066OtherRIBLUE CHIP OF RI
5656761OtherRIFIRST HEALTH
7559746OtherRIAETNA

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

LicenseStateTypeSpecialty
PT01588RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Physical Therapy, Inc. Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Elite Physical Therapy, LLC Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Motion Works Physical Therapy, LLC Physical Therapist PastSince Dec 21, 2016 Accepting new patients
Elite Physical Therapy Physical Therapist PastSince Jan 1, 1990 Accepting new patients

Locations

65 Holbrook St
Ste 130
Norfolk, MA 02056
Phone (508) 530-4970

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1568470698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 COUNTY ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033511",
            "telephone_number": "508-226-2213",
            "fax_number": "508-431-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 COUNTY ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033511",
            "telephone_number": "508-226-2213",
            "fax_number": "508-431-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNEGGE",
        "first_name": "TREVOR",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF RI",
            "identifier": "29647-4",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9383072",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "4075",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RI",
            "identifier": "410066",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5656761",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7559746",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.