Organization Active NPI

Physical Therapy on the Go LLC

Doing business as PT on the Go

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1104460450
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY ON THE GO LLC
Doing business as
PT on the Go
Physical Therapy on the Go
Practice address
10200 Timberwolf Dr
Reno, NV 89523-9664
Phone
(775) 440-3706
Fax
(775) 204-9774
NPI assigned
Oct 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Noelle Natale Madraso, PTNPI 1689681199
Title
Owner, Managing Member
Phone
(775) 440-3706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10200 Timberwolf Dr
Reno, NV 89523-9664

Mailing address

PO Box 33296
Reno, NV 89533-3296
Phone (775) 440-3706

Other identifiers 1

IdentifierTypeStateIssuer
6617247OtherNVAETNA

Other names 2

  • PT on the Go Doing business as
  • Physical Therapy on the Go Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1104460450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33296",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895333296",
            "telephone_number": "775-440-3706",
            "fax_number": "775-204-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 TIMBERWOLF DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239664",
            "telephone_number": "775-440-3706",
            "fax_number": "775-204-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ON THE GO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "MADRASO",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "NATALE",
        "authorized_official_title_or_position": "OWNER, MANAGING MEMBER",
        "authorized_official_telephone_number": "775-440-3706",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6617247",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT on the Go",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physical Therapy on the Go",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.