Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. M. Daveda Wingenbach, PT

Individual provider Physical Therapist · NPI 1821370164

Mrs. M. Daveda Wingenbach, PT is a Physical Therapist in Liverpool, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

195 Blackberry Rd
Liverpool, NY 13090-3047
Phone: (315) 622-7160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 007377 (NY)

Record details

NPI number1821370164
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 13, 2011
Last updated in NPPESSeptember 13, 2011
Mailing address50 Ironwood Dr, Pennellville, NY 13132-3143

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