Steven Eric Wynia, PHYSICALTHERAPISTMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7140 Issued in MN

Practice address

5740 Brooklyn Blvd
Ste 100
Brooklyn Center, MN 55429-3062

Phone

(763) 561-4045

Fax

(763) 561-8690

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kent J. Erickson, D.C., CHTDGroup PAC ID 6507839586, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jag Health LLC

  • Physical Therapist
  • Becker, MN
  • NPI 1407555758
  Medicare reassignment NPD Authorized official
• Kent J. Erickson, D.C., CHTD

  • Chiropractor
  • Brooklyn Center, MN
  • NPI 1720090814
  Medicare reassignment Care Compare group NPD
• Potter Chiropractic

  • Chiropractor
  • Faribault, MN
  • NPI 1972734135
  NPD (past)
• Therapywerks PA

  • Physical Therapist
  • Faribault, MN
  • NPI 1760455588
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1679546469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13640 OLIVIA CT",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "553089381",
            "telephone_number": "763-261-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 BROOKLYN BLVD",
            "address_2": "STE 100",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293062",
            "telephone_number": "763-561-4045",
            "fax_number": "763-561-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNIA",
        "first_name": "STEVEN",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "PHYSICALTHERAPISTMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ PROVIDER #",
            "identifier": "2015683",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "721145700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "416S6WY",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP41243",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER #",
            "identifier": "6403670",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE PROVIDER #",
            "identifier": "116113",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Work It Out Transportation
• Andrew Worthing, MS, LMFT
• Wright Way Home Care LLC
• Linda B Wright, RN, NP
• Nyrie M'Cole Wright
• Lalita Xiong
• Sanouk Xiong, DNP, NP-C FNP
• Adriene Yang
• Andrew Yeeleng Yang
• Cynthia Yang

• Physical Therapist in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.