Organization Active NPI

Health Co

Doing business as The Health Lab

  • Physical Therapy Clinic/Center
  • Carson City, NV
National Provider Identifier
1366290850
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HEALTH CO
Doing business as
The Health Lab
Practice address
1102 N Curry St
Carson City, NV 89703-3801
Phone
(775) 525-8681
Fax
(775) 301-6049
NPI assigned
May 9, 2024
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Loren Tyler Wooldridge, PT, DPTNPI 1831538420
Title
Owner
Phone
(775) 315-0730

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

1102 N Curry St
Carson City, NV 89703-3801

Mailing address

1102 N Curry St
Carson City, NV 89703-3801
Phone (775) 525-8681

Other names 1

  • The Health Lab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240726003945 NV Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315483294 Receives reassigned benefits from 3 practitioners
Practice locations: Carson City, NV

National Provider Directory

National Provider Directory

Locations

1102 N Curry St
Carson City, NV 89703
Phone (775) 525-8681

4250 Cochise St
Ste 80
Carson City, NV 89703
Phone (775) 525-8681

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1366290850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 N CURRY ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033801",
            "telephone_number": "775-525-8681",
            "fax_number": "775-301-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 N CURRY ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033801",
            "telephone_number": "775-525-8681",
            "fax_number": "775-301-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "WOOLDRIDGE",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-315-0730",
        "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": "The Health Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.