Provider Demographics
NPI:1528489960
Name:WINKLER, RYAN M (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:M
Last Name:WINKLER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 RIO BELLA PL
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34201-2210
Mailing Address - Country:US
Mailing Address - Phone:941-925-2700
Mailing Address - Fax:941-925-7744
Practice Address - Street 1:5969 CATTLERIDGE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6050
Practice Address - Country:US
Practice Address - Phone:941-217-5460
Practice Address - Fax:941-217-5463
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-03
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT28610225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist