Individual provider Active NPI

Jeffrey Eckert, DPT

  • Physical Therapist
  • Elko, NV
National Provider Identifier
1144404831
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2546 Issued in NV
Practice address
620 South 12TH Street
Ste. 110
Elko, NV 89801
Phone
(775) 738-0818
Fax
(775) 738-0814
NPI assigned
Dec 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 662457-2401 UT
Physical Therapist 225100000X 2546 NV Primary

Addresses

Primary practice location

620 South 12TH Street
Ste. 110
Elko, NV 89801

Mailing address

620 S 12TH St
Ste 110
Elko, NV 89801-4010
Phone (775) 738-0818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110622000278 NV Practitioner - Physical Therapist in Private Practice 7012082811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Range Physical Therapy, LLCGroup PAC ID 0143515726, 2 clinicians

Practice addresses (Care Compare)

620 S 12TH St
Suite 110
Elko, NV 89801-4010
Phone (775) 738-0818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
662457-2401UTMDPhysical Therapist
2546NVMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Full Range Physical Therapy, LLC Physical Therapist CurrentSince May 23, 2016 Accepting new patients

Locations

1501 Lamoille Hwy
Elko, NV 89801
Phone (775) 738-0818

620 S 12th St
Ste 110
Elko, NV 89801
Phone (775) 738-0818

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1144404831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S 12TH ST",
            "address_2": "STE 110",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014010",
            "telephone_number": "775-738-0818",
            "fax_number": "775-738-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SOUTH 12TH STREET",
            "address_2": "STE. 110",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "89801",
            "telephone_number": "775-738-0818",
            "fax_number": "775-738-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "JEFFREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "662457-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.