Provider Demographics
NPI:1568470698
Name:WINNEGGE, TREVOR D (DPT)
Entity Type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:D
Last Name:WINNEGGE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 COUNTY ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3511
Mailing Address - Country:US
Mailing Address - Phone:508-226-2213
Mailing Address - Fax:508-431-2637
Practice Address - Street 1:281 COUNTY ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-3511
Practice Address - Country:US
Practice Address - Phone:508-226-2213
Practice Address - Fax:508-431-2637
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT01588225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9383072OtherPHCS
RI29647-4OtherBC/BS OF RI
RI4075OtherNEIGHBORHOOD HEALTH
RI410066OtherBLUE CHIP OF RI
RI5656761OtherFIRST HEALTH
RI7559746OtherAETNA
RI29647-4OtherBC/BS OF RI