Madison Haley Winfrey, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2019039797 Issued in MO

Practice address

2810 S Jackson Ave
Joplin, MO 64804-2524

Phone

(417) 572-0041

NPI assigned

Jan 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1790556074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E MIAMI BLVD",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743543356",
            "telephone_number": "918-791-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 S JACKSON AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042524",
            "telephone_number": "417-572-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFREY",
        "first_name": "MADISON",
        "middle_name": "HALEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3159",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2019039797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Wilson
• Patricia Marie Wilson, RN
• Stephen Wade Wilson
• Jessica B Windschitl, DO
• Jourdan S Winfrey, RDH
• Brittany Nicole Winkfield
• Kalyn N Winnett
• Jeffrey Martin Wischmeyer, CRNA
• Tyffanie Wisener
• Benjamin Withers

• Physical Therapy Assistant in Joplin, MO
• Providers in Joplin, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.