Active NPI
Gina M Medefindt, PT, DPT
- Physical Therapist
- Winston Salem, NC
National Provider Identifier
1962026401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19532
- Practice address
- 149 Forest View Dr
Winston Salem, NC 27104-3638 - Phone
- (336) 480-4961
- NPI assigned
- Jun 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | P19532 | NC | Primary |
Addresses
Primary practice location
149 Forest View Dr
Winston Salem, NC 27104-3638
Mailing address
149 Forest View Dr
Winston Salem, NC 27104-3638
Phone (336) 480-4961
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19532 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591056000000",
"number": "1962026401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 FOREST VIEW DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271043638",
"telephone_number": "336-480-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 FOREST VIEW DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271043638",
"telephone_number": "336-480-4961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEFINDT",
"first_name": "GINA",
"middle_name": "M",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2020-06-02",
"certification_date": "2020-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.