Individual provider Active NPI

Jenna Meryl Winnegge, DPT

  • Physical Therapist
  • Attleboro, MA
National Provider Identifier
1861698730
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17941 Issued in MA
Practice address
16 Hillside Ave
Attleboro, MA 02703-2487
Phone
(508) 222-4450
Fax
(508) 222-5777
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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 17941 MA Primary

Addresses

Primary practice location

16 Hillside Ave
Attleboro, MA 02703-2487

Mailing address

30 Harding Ave
Attleboro, MA 02703-7612
Phone (516) 557-1126

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
17941MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1861698730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HARDING AVE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027037612",
            "telephone_number": "516-557-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HILLSIDE AVE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032487",
            "telephone_number": "508-222-4450",
            "fax_number": "508-222-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNEGGE",
        "first_name": "JENNA",
        "middle_name": "MERYL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17941",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 19, 2014; 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.