Provider Demographics
NPI:1720850662
Name:WINN PHYSICAL THERAPY GROUP
Entity Type:Organization
Organization Name:WINN PHYSICAL THERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:334-324-1336
Mailing Address - Street 1:2415 MOORES MILL RD UNIT 210
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-8482
Mailing Address - Country:US
Mailing Address - Phone:334-246-3587
Mailing Address - Fax:334-246-3599
Practice Address - Street 1:2415 MOORES MILL RD UNIT 210
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-8482
Practice Address - Country:US
Practice Address - Phone:334-246-3587
Practice Address - Fax:334-246-3599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty