Active NPI
Amanda Beth Backlund, D.P.T.
- Physical Therapist
- Fernley, NV
National Provider Identifier
1174771919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2236
- Practice address
- 415 Hwy 95a South
Suite C302
Fernley, NV 89408 - Phone
- (775) 575-1818
- Fax
- (775) 575-1808
- NPI assigned
- Sep 5, 2008
- Last updated
- Sep 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2236 | NV | Primary |
Addresses
Primary practice location
415 Hwy 95a South
Suite C302
Fernley, NV 89408
Mailing address
10605 Double R Blvd
Suite 200
Reno, NV 89521
Phone (775) 853-7475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Partners Nevada LLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Reno, NV
- NPI 1407924178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1174771919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10605 DOUBLE R BLVD",
"address_2": "SUITE 200",
"city": "RENO",
"state": "NV",
"postal_code": "89521",
"telephone_number": "775-853-7475",
"fax_number": "775-853-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 HWY 95A SOUTH",
"address_2": "SUITE C302",
"city": "FERNLEY",
"state": "NV",
"postal_code": "89408",
"telephone_number": "775-575-1818",
"fax_number": "775-575-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKLUND",
"first_name": "AMANDA",
"middle_name": "BETH",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fernley, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.