Individual provider Active NPI

Ninfa P Weinzapfel, P.T.

  • Physical Therapist
  • Upland, CA
National Provider Identifier
1952445496
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20354 Issued in CA
Practice address
2377 W Foothill Blvd Ste 20
Upland, CA 91786-3584
Phone
(909) 608-2800
Fax
(909) 608-2903
NPI assigned
Feb 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20354 CA Primary

Addresses

Primary practice location

2377 W Foothill Blvd Ste 20
Upland, CA 91786-3584

Mailing address

2377 W. Foothill Blvd.
Ste 20
Upland, CA 91786-3584
Phone (909) 606-2800

Other practice location 1

299 W Foothill Blvd
Ste 200
Upland, CA 91786-3804
Phone (909) 985-2337

Other identifiers 1

IdentifierTypeStateIssuer
1841713625OtherCANPI TYPE II

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000434 CA Practitioner - Physical Therapist in Private Practice 2860445434 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Performance Physical Therapy Inc Physical Therapist CurrentSince Apr 14, 2014 Accepting new patients

Locations

2377 W Foothill Blvd
Ste 20
Upland, CA 91786
Phone (909) 608-2800

Organizations & group practices 1

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": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952445496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 W. FOOTHILL BLVD.",
            "address_2": "STE 20",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863584",
            "telephone_number": "909-606-2800",
            "fax_number": "909-608-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 W FOOTHILL BLVD STE 20",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863584",
            "telephone_number": "909-608-2800",
            "fax_number": "909-608-2903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 W Foothill Blvd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917863804",
            "country_code": "US",
            "telephone_number": "909-985-2337",
            "fax_number": "909-985-4694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINZAPFEL",
        "first_name": "NINFA",
        "middle_name": "P",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "20354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE II",
            "identifier": "1841713625",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.