Individual provider Active NPI

Brian J Fearnley, MPT

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1255371803
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1675 Issued in NV
Practice address
5255 Longley Lane Suite 140
Reno, NV 89511
Phone
(775) 823-5350
Fax
(775) 813-5354
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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
Physical Therapist 225100000X 1675 NV Primary

Addresses

Primary practice location

5255 Longley Lane Suite 140
Reno, NV 89511

Mailing address

PO Box 8940
Reno, NV 89507
Phone (775) 823-5350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000668 NV Practitioner - Physical Therapist in Private Practice 5092972562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Physical Therapy IncGroup PAC ID 2668476987, 9 clinicians

Practice addresses (Care Compare)

5255 Longley LN
Suite 140
Reno, NV 89511-5201
Phone (775) 823-5350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1675NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Physical Therapy Inc Physical Therapist CurrentSince Aug 20, 2018 Accepting new patients

Locations

1413 S Virginia St
Reno, NV 89502
Phone (775) 507-4210

5255 Longley Ln
Ste 140
Reno, NV 89511
Phone (775) 507-7024

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1255371803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8940",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89507",
            "telephone_number": "775-823-5350",
            "fax_number": "775-823-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 LONGLEY LANE SUITE 140",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-823-5350",
            "fax_number": "775-813-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARNLEY",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.