Wings Physical Therapy Company LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WINGS PHYSICAL THERAPY COMPANY LLC

Practice address

297 N US Highway 287 Ste 105
Lafayette, CO 80026-8953

Phone

(718) 839-4542

NPI assigned

Dec 30, 2022

Organization subpart

No

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

Authorized official

Name

Teymur MirzoyevNPI 1376912238

Title

Owner

Phone

(718) 839-4542

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teymur Mirzoyev, DPT, OCS

  • Orthopedic Physical Therapist
  • Lafayette, CO
  • NPI 1376912238
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1881307296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 N US HIGHWAY 287 STE 105",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268953",
            "telephone_number": "718-839-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 N US HIGHWAY 287 STE 105",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268953",
            "telephone_number": "718-839-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS PHYSICAL THERAPY COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "MIRZOYEV",
        "authorized_official_first_name": "TEYMUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-839-4542"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Wilson, M.S. CF-SLP
• Mark E Wilson, M.D.
• Samantha Wilson
• Sharon Wilson, P.T.
• Kathleen B Wingen
• Jacqueline Winkelman, LCSW
• Heather Maclaughlin Winn, MD
• Jeffrey Lawrence Winnicki, DDS
• Aimee M Winter, FNP
• Joel Anthony Winter, O.D.

• Physical Therapist in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.