Jeffrey Kertis, PT, MS, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3352 Issued in NV

Practice address

9480 Double Diamond Pkwy Ste 200
Reno, NV 89521-5842

Phone

(775) 348-8800

Fax

(833) 687-1419

NPI assigned

Jun 14, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James J Lynch M D LTDGroup PAC ID 9133188626, 81 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.71 of 100Reported as apm

Quality

81.42

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.71 of 100Reported as apm

Quality

81.42

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkertis170034@direct.renown.org
• Direct secure messaging: jeffrey.kertis.1@22724.direct.athenahealth.com

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

• James J Lynch MD LTD

  • Specialist
  • Reno, NV
  • NPI 1285649608

  Physical Therapy

  Medicare reassignment Care Compare group NPD
• James J Lynch M D LTD

  • Durable Medical Equipment & Medical Supplies
  • Carson City, NV
  • NPI 1669157319
  NPD
• Custom Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Reno, NV
  • NPI 1083629752

  Physical Therapist

  NPD (past)
• Custom Physical Therapy Limited Partnership

  • Physical Therapist
  • Reno, NV
  • NPI 1669197752
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1033569660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N ARLINGTON AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034723",
            "telephone_number": "775-786-3040",
            "fax_number": "775-786-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 DOUBLE DIAMOND PKWY STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215842",
            "telephone_number": "775-348-8800",
            "fax_number": "833-687-1419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18653 Wedge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895113323",
            "country_code": "US",
            "telephone_number": "775-786-3040",
            "fax_number": "775-786-4765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERTIS",
        "first_name": "JEFFREY",
        "credential": "PT, MS, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033569660",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13842203",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkertis170034@Direct.renown.org",
            "affiliation": "N",
            "address_1": "18653 Wedge Pkwy",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895113323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Marie Kerkelis, MD
• Charlotte Anne Kermode, APN, FNP-BC
• Jeffrey Lynn Kern Jr.
• Paula Sue Kerns, P.T.
• Matthew T Kerr, LCSW
• Barbara E. Kess Evarts, ED.S., MFT
• Ketamine Wellness Centers Reno LLC
• Lori Ketels
• Richard Allen Ketring, DC
• Geoffry Kettling, LMFT

• Physical Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.