Full Range Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

20161012442 Issued in NV

Legal business name

FULL RANGE PHYSICAL THERAPY, LLC

Practice address

620 S. 12TH St. Ste. 110
Elko, NV 89801

Phone

(775) 738-0818

NPI assigned

Jan 8, 2016

Organization subpart

No

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

Authorized official

Name

Jeffrey M Eckert, P.T., D.P.T., S.C.S.NPI 1144404831

Title

Owner

Phone

(775) 738-0818

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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

• Jeffrey Eckert, DPT

  • Physical Therapist
  • Elko, NV
  • NPI 1144404831
  Medicare reassignment Care Compare group NPD Authorized official
• Aubrey Wood, PT, DPT

  • Physical Therapist
  • Elko, NV
  • NPI 1457288102
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1265898068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SOUTH 12TH STREET, STE. 110",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "89801",
            "telephone_number": "775-738-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S. 12TH ST. STE. 110",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "89801",
            "telephone_number": "775-738-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL RANGE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-738-0818",
        "authorized_official_credential": "P.T., D.P.T., S.C.S."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NV",
            "license": "20161012442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred J Fricke, MD
• Angie Louise Frisbie
• Kristina Fry
• Gavin Fuchs
• Jasmine Fuentes
• Pam L Gaines, R.N.
• Lisa I Galindo
• Thomas David Gall, OD
• Morris S Gallagher, D.D.S.
• Jennifer D Gallegos

• Physical Therapy Clinic/Center in Elko, NV
• Providers in Elko, 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 Jan 10, 2017; 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.