Individual provider Active NPI

Brooke Renee Winder, P.T.

  • Orthopedic Physical Therapist
  • Orange, CA
National Provider Identifier
1881907657
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
36874 Issued in CA
Practice address
5744 E Creekside Ave Unit 41
Orange, CA 92869-3146
Phone
(657) 221-5401
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 36874 CA
Orthopedic Physical Therapist 2251X0800X 36874 CA Primary

Addresses

Primary practice location

5744 E Creekside Ave Unit 41
Orange, CA 92869-3146

Mailing address

5744 E Creekside Ave Unit 41
Orange, CA 92869-3146
Phone (657) 221-5401

Other practice location 1

970 Monument Street
Suite 207
Pacific Palisades, CA 90272
Phone (310) 573-9553

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
36874CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Womanology Physical Therapist PastSince Oct 15, 2013 Accepting new patients
Cypress Physical Therapy Center, Inc. Physical Therapist PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 2

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1881907657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5744 E CREEKSIDE AVE UNIT 41",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693146",
            "telephone_number": "657-221-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5744 E CREEKSIDE AVE UNIT 41",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693146",
            "telephone_number": "657-221-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "970 Monument Street",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Pacific Palisades",
            "state": "CA",
            "postal_code": "90272",
            "country_code": "US",
            "telephone_number": "310-573-9553",
            "fax_number": "310-573-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDER",
        "first_name": "BROOKE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36874",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "36874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.