Wynter Zdunczyk, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001858 Issued in WV

Practice address

3801 Leona Ave
Shadyside, OH 43947-1369

Phone

(740) 359-0814

NPI assigned

Jun 30, 2017

Last updated

Jun 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1902327836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LEONA AVE",
            "city": "SHADYSIDE",
            "state": "OH",
            "postal_code": "439471369",
            "telephone_number": "740-359-0814",
            "fax_number": "740-359-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 LEONA AVE",
            "city": "SHADYSIDE",
            "state": "OH",
            "postal_code": "439471369",
            "telephone_number": "740-359-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDUNCZYK",
        "first_name": "WYNTER",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "001858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Shadyside, OH
• Providers in Shadyside, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.