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THEODORA WINN PT
NPI 1245455104
Physical Therapist - Orthopedic in Riverside, CA

Active since April 16, 2007Accepts Medicare Assignment
4444 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 274-3524(951) 274-3442 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theodora Winn Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORA WINN PT (NPI 1245455104) is an individual orthopedic provider in Riverside, California, licensed in California (14923) and active in the NPI registry since April 2007. She is a graduate of Other (1987).

NPPES Registry Identity

NPI1245455104
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameTHEODORA WINNCredential: PT
Location Address4444 MAGNOLIA AVERiverside, CA 92501-4136
Mailing Address4444 Magnolia AveRiverside, CA 92501-4136 · (951) 274-3524 · Fax (951) 274-3442
Phone(951) 274-3524
Fax(951) 274-3442
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateApril 16, 2007
Last NPPES UpdateDecember 1, 2021
✔ NPI 1245455104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 14923
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
4444 MAGNOLIA AVE, Riverside, CA 92501
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Other Identifiers 1

Other14923CA · Physical Therapy

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodora Winn Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961720990
PECOS Enrollment IDI20150423000210

Medicare Billing Reassignment

Medicare enrollment records show Theodora Winn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
7.0 mi
Health Maintenance Organization
10800 MAGNOLIA AVE
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1316979834 (866) 984-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANOCHA SUPHOL MPT
Physical Therapist (Sports)
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 274-3524
BRIAN D HILD MD
Orthopaedic Surgery
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 682-5661
MR. THOMAS MARK HARTLEY M.D.
Orthopaedic Surgery
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 682-5661
MS. JAMES BAUMAN CLOVER JR. MED, ATC, PTA
Specialist/Technologist (Athletic Trainer)
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 274-3484
COMMUNITY MEDICAL GROUP OF RIVERSIDE INC
Orthopaedic Surgery
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 682-5661
MR. JAMES DAVID WINN ATC
Physical Therapy Assistant
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (909) 319-6406
MARGERY SANCHEZ OT, CHT
Occupational Therapist (Hand)
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 274-3524
KIM SAMOSKY MPT, OCS, ATC
Physical Therapist (Sports)
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 274-3524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodora Winn's NPI number?

The NPI number for Theodora Winn is 1245455104. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Theodora Winn located?

Theodora Winn practices at 4444 Magnolia Ave, Riverside, CA 92501. The listed phone number is (951) 274-3524.

What is Theodora Winn's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Theodora Winn enrolled in Medicare?

Yes. Theodora Winn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Theodora Winn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodora Winn reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodora Winn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodora Winn was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.