Silver State Physical Therapy and Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SILVER STATE PHYSICAL THERAPY AND WELLNESS LLC

Practice address

203 Thornwood CT
Dayton, NV 89403-8608

Phone

(775) 233-5281

NPI assigned

Jan 21, 2020

Last updated

Jan 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Lee Soukup, DPTNPI 1376182600

Title

Physical Therapist

Phone

(775) 233-5281

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Lee Soukup, DPT

  • Physical Therapist
  • Dayton, NV
  • NPI 1376182600
  NPD Authorized official

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1295365062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 THORNWOOD CT",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894038608",
            "telephone_number": "775-233-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 THORNWOOD CT",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894038608",
            "telephone_number": "775-233-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "SOUKUP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "775-233-5281",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robertson & Koenig,LTD (Dayton Family Vision)
• Krystal Rodrigues
• Nichole Marie Rogacs
• Rural Nevada Counseling
• Sharon Salas
• Paula Smith
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #392)
• Kelly Solorzano
• Michael Lee Soukup, DPT
• State of Nevada (Dayton Mental Health Center)

• Physical Therapy Clinic/Center in Dayton, NV
• Providers in Dayton, 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 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.