Tristan Besa Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4279 Issued in NV

Practice address

5578 Longley LN
Reno, NV 89511-1825

Phone

(775) 284-8650

Fax

(775) 284-8654

NPI assigned

Sep 23, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nevadaadvancedpain.tristanbesa@118189.advancedmd

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.

• Orthosport Physical Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Honolulu, HI
  • NPI 1811585524
  NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1073129193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5578 LONGLEY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111825",
            "telephone_number": "775-284-8650",
            "fax_number": "775-284-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5578 LONGLEY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111825",
            "telephone_number": "775-284-8650",
            "fax_number": "775-284-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESA",
        "first_name": "TRISTAN",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NevadaAdvancedPain.TristanBesa@118189.advancedmd",
            "affiliation": "N",
            "address_1": "5578 Longley Ln",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895111825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James A Bertone, LCSW, LADC
• Sheila Mae Bertrand, PT
• Timothy Joseph Bertrand, PT
• Patricia Ann Rinne Bertz, M.D
• Giorgi Berulava, MD
• Kovi Bessoff, MD
• Best Life Behavioral Health LLC
• Natalie Ann Best, CPC
• Daniel John Bester, MD
• Myron Wade Bethel, MD

• 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 Sep 23, 2020; 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.