Biodynamic Manual Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BIODYNAMIC MANUAL THERAPY, LLC

Practice address

837 Mount Rose St
Reno, NV 89509-3224

Phone

(850) 797-0636

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

Kimberly M. PruchaNPI 1124290523

Title

Owner

Phone

(850) 797-0636

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kimberly M Prucha, MPT

  • Physical Therapist
  • Reno, NV
  • NPI 1124290523
  NPD (past) Authorized official

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1235503335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 MOUNT ROSE ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093224",
            "telephone_number": "850-797-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 MOUNT ROSE ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093224",
            "telephone_number": "850-797-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIODYNAMIC MANUAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "PRUCHA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-797-0636"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie Casse DO PLLC
• Alan S Bills, DDS
• Kezia Bills
• Courtney Binand
• Terry Leroy Binkley
• Traci S Biondi, MD
• Barbara Biondo
• Theresa Birchfield, PA
• Brendan Edward Bird, DO
• Rachel Ruth Bird, PA-C

• Physical Therapy Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Physical Therapy Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.