Individual provider Active NPI

Skylar Lane Tarbet, PT, DPT

  • Physical Therapist
  • Spring Creek, NV
National Provider Identifier
1033567466
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3316 Issued in NV
Practice address
250 Country Club Pkwy
Spring Creek, NV 89815-5830
Phone
(775) 777-1276
Fax
(775) 777-7022
NPI assigned
May 26, 2016
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 60717697 WA
Physical Therapist 225100000X 3316 NV Primary

Addresses

Primary practice location

250 Country Club Pkwy
Spring Creek, NV 89815-5830

Mailing address

250 Country Club Pkwy
Spring Creek, NV 89815-5830
Phone (775) 777-1276

Other identifiers 1

IdentifierTypeStateIssuer
1033567466MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160706001410 NV Practitioner - Physical Therapist in Private Practice 9931490851 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 60717697WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Emergency Medicine Solutions LTD CurrentSince Oct 13, 2019 Accepting new patients
Rehab Services B and Ris LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Robert G Berry Jr Elko Chartered LLC CurrentSince Feb 5, 2018 Accepting new patients
Lincoln County Hospital District Past Accepting new patients
Washington Physical Therapy Past Accepting new patients

Locations

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

2219 N 5th St
Ste A
Elko, NV 89801
Phone (775) 777-1224

135 W 2nd St
Winnemucca, NV 89445
Phone (775) 623-4813

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1033567466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COUNTRY CLUB PKWY",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898155830",
            "telephone_number": "775-777-1276",
            "fax_number": "775-777-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COUNTRY CLUB PKWY",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898155830",
            "telephone_number": "775-777-1276",
            "fax_number": "775-777-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARBET",
        "first_name": "SKYLAR",
        "middle_name": "LANE",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60717697",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033567466",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Creek, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.