Individual provider Active NPI

Preston McKay Hatch, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Reno, NV
National Provider Identifier
1285255232
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DO3689 Issued in NV
Practice address
1495 Mill St
Reno, NV 89502-1479
Phone
(775) 982-5000
Fax
(775) 982-8001
NPI assigned
Apr 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X DO3689 NV Primary

Addresses

Primary practice location

1495 Mill St
Reno, NV 89502-1479

Mailing address

1155 Mill Street
Ms M-14
Reno, NV 89502-1576
Phone (775) 982-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808002550 NV Practitioner - Physical Medicine and Rehabilitation 4688111594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

1495 Mill St
Reno, NV 89502-1479
Phone (775) 982-7878

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO3689NVMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Physical Medicine & Rehabilitation Current Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Community Care Services LLC CurrentSince Jul 3, 2024 Accepting new patients
Community Care Services LLC CurrentSince Jul 3, 2024 Accepting new patients
Community Care Services LLC Physical Medicine & Rehabilitation Past Accepting new patients
Community Care Services LLC Past Accepting new patients

Locations

1495 Mill St
Reno, NV 89502
Phone (775) 982-3500

1155 Mill St
#T5
Reno, NV 89502

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

75 Pringle Way
Ste 401
Reno, NV 89502
Phone (775) 982-2970

Interoperability endpoints

  • Direct secure messaging: phatch206759@direct.renown.org
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1285255232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL STREET",
            "address_2": "MS M-14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021479",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCH",
        "first_name": "PRESTON",
        "middle_name": "MCKAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "DO3689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.