Provider Demographics
NPI:1629859301
Name:WINBERG PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:WINBERG PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:WINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:315-338-3963
Mailing Address - Street 1:50 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2324
Mailing Address - Country:US
Mailing Address - Phone:315-338-3963
Mailing Address - Fax:315-922-7025
Practice Address - Street 1:50 GENESEE ST
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2324
Practice Address - Country:US
Practice Address - Phone:315-338-3963
Practice Address - Fax:315-922-7025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty