=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205350287
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBRA WINNINGER DPT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/01/2017
-----------------------------------------------------
Last Update Date | 08/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1610 ROBB DR STE D5
-----------------------------------------------------
City | RENO
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89523-3520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-746-9222
-----------------------------------------------------
Fax | 775-746-9224
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1450 E PRATER WAY STE 103
-----------------------------------------------------
City | SPARKS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89434-8973
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-746-9222
-----------------------------------------------------
Fax | 775-746-9224
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 13554246-2401
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 6798
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------