Active NPI
Jennifer Gorton
- Physical Therapist
- Reno, NV
National Provider Identifier
1003560061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4329
- Practice address
- 975 Kirman Ave
Reno, NV 89502-0997 - Phone
- (775) 291-2059
- NPI assigned
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4329 | NV | Primary |
Addresses
Primary practice location
975 Kirman Ave
Reno, NV 89502-0997
Mailing address
290A Kitts Way
Reno, NV 89521-9724
Phone (775) 291-2059
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Desktop |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4329 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1003560061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290A KITTS WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895219724",
"telephone_number": "775-291-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 KIRMAN AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895020997",
"telephone_number": "775-291-2059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORTON",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4329",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Desktop",
"affiliation": "N",
"address_1": "975 Kirman Ave",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895020997",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.