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

Winter Anne Ives, DPT

Individual provider Physical Therapist · NPI 1639938715

Winter Anne Ives, DPT is a Physical Therapist in Private Practice in Lodi, California. Qualified in 2023, 3 years ago. Practices with Golden Bear Physical Therapy Sports Injury Center Inc, a 83-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
3
Licensed in
NV
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

631 S Ham Ln # B
Lodi, CA 95242-3532
Phone: (120) 936-8743
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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 6356 (NV)

Record details

NPI number1639938715
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address7487 E Kettleman Ln, Lodi, CA 95240-9451

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Golden Bear Physical Therapy Sports Injury Center Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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