Individual provider Active NPI

Daniel Arlt, PTA

  • Physical Therapy Assistant
  • Sparks, NV
National Provider Identifier
1023403169
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A-0373 Issued in NV
Practice address
4575 Vista Mountain Dr
Sparks, NV 89436-4640
Phone
(775) 626-6805
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A-0373 NV Primary
Physical Therapy Assistant 225200000X 4595 CA

Addresses

Primary practice location

4575 Vista Mountain Dr
Sparks, NV 89436-4640

Mailing address

550 N Sherman St
Fallon, NV 89406-3488
Phone (888) 873-4221

Other identifiers 1

IdentifierTypeStateIssuer
A-0373OtherNVBOARD OF PHYSICAL THERAPY EXAMINERS - PHYSICAL THERAPIST ASSISTANT NEVADA

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

LicenseStateTypeSpecialty
A-0373NVMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1023403169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N SHERMAN ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063488",
            "telephone_number": "888-873-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 VISTA MOUNTAIN DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894364640",
            "telephone_number": "775-626-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARLT",
        "first_name": "DANIEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A-0373",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "4595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHYSICAL THERAPY EXAMINERS - PHYSICAL THERAPIST ASSISTANT NEVADA",
            "identifier": "A-0373",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.