Active NPI
Bengoa Physical Therapy LLC
- Physical Therapy Clinic/Center
- Battle Mountain, NV
National Provider Identifier
1245078138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- BENGOA PHYSICAL THERAPY LLC
- Practice address
- 100 Carson Rd Ste B
Battle Mountain, NV 89820-2311 - Phone
- (775) 455-0049
- Fax
- (775) 539-3234
- NPI assigned
- Jul 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Bengoa, PT, MS
- Title
- PT/Managing Member
- Phone
- (775) 455-0049
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
100 Carson Rd Ste B
Battle Mountain, NV 89820-2311
Mailing address
100 Carson Rd Ste B
Battle Mountain, NV 89820-2311
Phone (775) 455-0049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-1790 | Other | NV | PHYSICAL THERAPY ASSISTANT |
National Provider Directory
National Provider DirectoryLocations
100 Carson Rd
Ste B
Battle Mountain, NV 89820
Phone (775) 455-0049
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Battle Mountain, NV
- NPI 1073751566
-
- Physical Therapy Assistant
- Battle Mountain, NV
- NPI 1184578528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1245078138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CARSON RD STE B",
"city": "BATTLE MOUNTAIN",
"state": "NV",
"postal_code": "898202311",
"telephone_number": "775-455-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CARSON RD STE B",
"city": "BATTLE MOUNTAIN",
"state": "NV",
"postal_code": "898202311",
"telephone_number": "775-455-0049",
"fax_number": "775-539-3234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENGOA PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-16",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A",
"authorized_official_last_name": "BENGOA",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "PT/MANAGING MEMBER",
"authorized_official_telephone_number": "775-455-0049",
"authorized_official_credential": "PT, MS"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY ASSISTANT",
"identifier": "A-1790",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Battle Mountain, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.