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

Q: 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.

Q: What is Theodora Winn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theodora Winn was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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

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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)