Sports Therapy and Rehabilitation Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0445 Issued in NV

Legal business name

SPORTS THERAPY AND REHABILITATION INC.

Practice address

303 Fleischmann Wy
Carson City, NV 89703

Phone

(775) 885-7827

Fax

(775) 885-2301

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Luann M Tucker, P.T.

Title

Owner/P.T.

Phone

(775) 885-7827

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 3

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

• Michael A Bernhard, MSPT

  • Physical Therapist
  • Carson City, NV
  • NPI 1871582411
  Medicare reassignment Care Compare group NPD
• Ricardo Ugarte Jr., DPT

  • Physical Therapist
  • Carson City, NV
  • NPI 1992572192
  Medicare reassignment Care Compare group NPD
• Michele Munson, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1396956876

  NV

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1114027000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 FLEISCHMANN WY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89703",
            "telephone_number": "775-885-7827",
            "fax_number": "775-885-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FLEISCHMANN WY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89703",
            "telephone_number": "775-885-7827",
            "fax_number": "775-885-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS THERAPY AND REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "LUANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/P.T.",
        "authorized_official_telephone_number": "775-885-7827",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0445",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0326",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003416133",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505561",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Spangler, D.C.
• Eric Sparks
• Kristie Ann Spellings, D.O
• Paula Spencer Hughes
• Bruce A. Spero, MD
• Monica Spraggins
• Spruce Pain Solutions PLLC
• Brittany St. John
• Elizabeth Stacy, CADC-I #01679
• Amber Starr

• Physical Therapist in Carson City, NV
• Providers in Carson City, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.