Active NPI
Ryan F Winning
- Physical Therapist
- Chehalis, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009211
- Practice address
- 91 SW Chehalis Ave Ste 104
Chehalis, WA 98532-1934 - Phone
- (360) 330-8850
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00009211 | WA | Primary |
Addresses
Primary practice location
91 SW Chehalis Ave Ste 104
Chehalis, WA 98532-1934
Mailing address
PO Box 84646
Seattle, WA 98124-5946
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT00009211 | Other | WA | LICENSE # |
| 4837WI | Other | WA | REGENCE |
| 8380560 | Medicaid | WA | |
| 173320 | Other | WA | L & I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1118 View Ave
Centralia, WA 98531-1870
Phone (360) 736-5273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00009211 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centralia Physical Therapy Inc PS | Physical Therapist | Current | Accepting new patients |
| Providence Health & Services Washington | Physical Therapist | Past | Accepting new patients |
Locations
1316 Mt Saint Helens Way NE
Ste B
Castle Rock, WA 98611
Phone (360) 557-8020
1118 View Ave
Centralia, WA 98531
Phone (360) 736-5273
1817 S Market Blvd
Ste C
Chehalis, WA 98532
Phone (360) 996-4410
19548 Vision Dr SW
Ste C
Rochester, WA 98579
Phone (360) 669-0564
4833 Tumwater Valley Dr SE
Ste 150
Tumwater, WA 98501
Phone (360) 493-4160
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.
-
dba Centralia Physical Therapy
- Physical Therapist
- Centralia, WA
- NPI 1952666315
-
- Rehabilitation Clinic/Center
- Tumwater, WA
- NPI 1801989587
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922167436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84646",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981245946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 SW CHEHALIS AVE STE 104",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985321934",
"telephone_number": "360-330-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINNING",
"first_name": "RYAN",
"middle_name": "F",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "PT00009211",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "4837WI",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8380560",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "173320",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.