Kerry Susan Chicoine, PT
Individual provider Active NPI Physical Therapist · Fallon, NV
NPI 1073696993 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073696993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2081 (NV)
- Practice address
- 52 Commercial Way
Fallon, NV 89406-2600 - Phone
- (775) 867-3904
- Fax
- (775) 867-3904
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2081 | NV | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab & Industrial Services, LLP | Physical Therapist | Past | Accepting new patients |
| Rehab & Industrial Services, LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2081 | NV | Yes |
Addresses
Primary practice location
52 Commercial Way
Fallon, NV 89406-2600
Mailing address
52 Commercial Way
Fallon, NV 89406-2600
Phone (775) 867-3904
Other providers in Fallon, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.