THEODORA WINN (NPI# 1245455104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245455104 |
| Entity Type | Individual |
| Full Name | THEODORA WINN |
| Credential | PT |
| Practice Address |
4444 Magnolia Ave Riverside CA 92501-4136 |
| Practice Telephone | 9512743524 |
| Practice Fax Number | 9512743442 |
| Mailing Telephone | 9512743524 |
| Mailing Fax Number | 9512743442 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
14923 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHYSICAL THERAPY | 14923 | 01 |
| Street Address |
4444 MAGNOLIA AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164407391 | Thomas Mark Hartley | Orthopaedic Surgery | 4444 Magnolia Ave, Riverside, CA 92501 | 2005-12-09 |
| 1295175479 | James David Winn | Physical Therapy Assistant | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2013-07-02 |
| 1710131750 | Danica C Macias | Physical Medicine & Rehabilitation | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2008-11-04 |
| 1932389673 | Christy Jo Horn | Physical Therapist | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-11-09 |
| 1942497193 | Thomas Tuan Pham | Family Medicine | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-10-02 |
| 1902024169 | Brent Harper | Physical Therapist | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-04-23 |
| 1003031899 | Anocha Suphol | Physical Therapist | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-04-16 |
| 1629293428 | Margery Sanchez | Occupational Therapist | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-04-16 |
| 1639394414 | Kim Samosky | Physical Therapist | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-04-16 |
| 1275608937 | Community Medical Group of Riverside Inc | Family Medicine | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336364108 | Sylvia Helene O'neill | Physical Therapist | 2240 Grace St, Riverside, CA 92504-4902 | 2007-04-16 |
| 1386767341 | Zakary Syl Benson | Physical Therapist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2007-04-06 |
| 1356394613 | Edward Kim | Physical Therapist | 3838 Sherman Dr, Suite 9, Riverside, CA 92503 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.