Individual provider Active NPI

Devin King Winter, PT

  • Physical Therapist
  • Shawnee Mission, KS
National Provider Identifier
1609189166
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2010005432 Issued in MO
Practice address
10000 W 75TH St Ste 121
Shawnee Mission, KS 66204-2241
Phone
(913) 362-7518
Fax
(913) 362-7302
NPI assigned
Jul 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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 2010005432 MO Primary

Addresses

Primary practice location

10000 W 75TH St Ste 121
Shawnee Mission, KS 66204-2241

Mailing address

10000 W 75TH St Ste 121
Shawnee Mission, KS 66204-2241
Phone (913) 362-7518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100901000353 MO Practitioner - Physical Therapist in Private Practice 8729102454 Reassigns benefits to 2 organizations
I20100922001180 KS Practitioner - Physical Therapist in Private Practice 8729102454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PWR Physio LLC 9 clinicians
Deborah a King Ma and Associates Inc 19 clinicians

Practice addresses (Care Compare)

12006 W 87TH St Pkwy
Lenexa, KS 66215-2808
Phone (913) 601-8151

5301 Harry S Truman Dr
Grandview, MO 64030-1708
Phone (816) 531-5746

721 Metropolitan Ave
Suite C
Leavenworth, KS 66048-1403
Phone (913) 250-5452

9233 Ward Pkwy
Suite 150
Kansas City, MO 64114-3368
Phone (913) 601-8151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010005432MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a King Ma & Associates Inc Physical Therapist CurrentSince Jul 3, 2010 Accepting new patients
Thrive Counseling LLC PastSince Jul 1, 2021 Accepting new patients

Locations

721 Metropolitan Ave
Ste C
Leavenworth, KS 66048
Phone (913) 250-5452

10000 W 75th St
Ste 121
Shawnee Msn, KS 66204
Phone (913) 362-7518

5301 Harry S Truman Dr
Grandview, MO 64030
Phone (816) 433-4618

Organizations & group practices 3

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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1609189166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W 75TH ST STE 121",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042241",
            "telephone_number": "913-362-7518",
            "fax_number": "913-362-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W 75TH ST STE 121",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042241",
            "telephone_number": "913-362-7518",
            "fax_number": "913-362-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "DEVIN",
        "middle_name": "KING",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2010005432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.