Provider Demographics
NPI:1467433151
Name:PAINE WINTON, CHRISTY D (PT)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:D
Last Name:PAINE WINTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-5900
Mailing Address - Country:US
Mailing Address - Phone:919-577-9200
Mailing Address - Fax:
Practice Address - Street 1:251 W CENTER ST
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-5900
Practice Address - Country:US
Practice Address - Phone:919-577-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP10437225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2569368Medicaid
OH363407OtherANTHEM BCBS
OH359337OtherANTHEM BCBS
OH363407OtherANTHEM BCBS
OH359337OtherANTHEM BCBS
OH2569368Medicaid