Organization Active NPI

Roadrunner Performance & Therapy

  • Physical Therapy Clinic/Center
  • Henderson, NV
National Provider Identifier
1356103162
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROADRUNNER PERFORMANCE & THERAPY
Practice address
27 Cresta Villa CT
Henderson, NV 89011-3187
Phone
(406) 880-4171
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Misha Trotter Lind, PT, DPTNPI 1689282899
Title
Owner
Phone
(406) 880-4171

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

27 Cresta Villa CT
Henderson, NV 89011-3187

Mailing address

27 Cresta Villa CT
Henderson, NV 89011-3187
Phone (406) 880-4171

Other names 1

  • Roadrunner Performance & Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1356103162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CRESTA VILLA CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890113187",
            "telephone_number": "406-880-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CRESTA VILLA CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890113187",
            "telephone_number": "406-880-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADRUNNER PERFORMANCE & THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "TROTTER LIND",
        "authorized_official_first_name": "MISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-880-4171",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roadrunner Performance & Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.