Jennifer Marie Winfrey, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1139046 Issued in TX

Practice address

907 23Rd St
Canyon, TX 79015-4645

Phone

(806) 655-6824

Fax

(806) 655-6823

NPI assigned

Aug 1, 2006

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Winfrey Enterprises, LLCGroup PAC ID 8729114806, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Winfrey Enterprises, LLC

  dba Canyon Physical Therapy

  • Physical Therapist
  • Canyon, TX
  • NPI 1902135973
  Medicare reassignment Care Compare group Authorized official
• Canyon Physical Therapy PLLC

  • Physical Therapist
  • Amarillo, TX
  • NPI 1093726093
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1952317471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 23RD ST",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790154645",
            "telephone_number": "806-655-6824",
            "fax_number": "806-655-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 23RD ST",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790154645",
            "telephone_number": "806-655-6824",
            "fax_number": "806-655-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFREY",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1139046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M West, D.C.
• William C. Braudt PA
• Trixanne Wilmott, RN
• Brian Leroy Wilson, D.D.S.
• Winfrey Enterprises, LLC (Canyon Physical Therapy)
• Felicia Irena Winn, PHARMD
• Jaclyn Glenell Wood, ATC, LAT
• Avery Young
• Leigh Ann Youso

• Physical Therapist in Canyon, TX
• Providers in Canyon, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.

Verify at the official NPI Registry.