Active NPI
Daniel Arlt, PTA
- Physical Therapy Assistant
- Sparks, NV
National Provider Identifier
1023403169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A-0373
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-0373 | Other | NV | BOARD 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
| License | State | Type | Specialty |
|---|---|---|---|
| A-0373 | NV | MD | Physical 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.