NPIMap

Organization Active NPI

Sierra Therapy Inc

  • Physical Therapy Clinic/Center
  • Sparks, NV
National Provider Identifier
1235981184
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SIERRA THERAPY INC
Doing business as
Fyzical Therapy & Balance Center
Practice address
1324 Disc Dr
Sparks, NV 89436-0684
Phone
(775) 384-1224
Fax
(775) 360-6206
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Mrs. Christine Jane Buesnel
Title
President
Phone
(650) 296-6362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1324 Disc Dr
Sparks, NV 89436-0684

Mailing address

1324 Disc Dr
Sparks, NV 89436-0684
Phone (775) 684-1224

Other names 1

  • Fyzical Therapy & Balance Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240607003137 NV Part B Supplier - Clinic/Group Practice 5395287106 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Reno, NV; Sparks, NV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Fyzical South Reno2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1324 Disc Dr
Sparks, NV 89436
Phone (775) 384-1224

Practitioners & affiliated clinicians

Practitioners 5

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": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1235981184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 DISC DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894360684",
            "telephone_number": "775-684-1224",
            "fax_number": "775-360-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 DISC DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894360684",
            "telephone_number": "775-384-1224",
            "fax_number": "775-360-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "BUESNEL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-296-6362",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy & Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.