Active NPI
Ruby Mountain Physical Therapy
- Physical Therapist
- Elko, NV
National Provider Identifier
1376698514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- RUBY MOUNTAIN PHYSICAL THERAPY
- Practice address
- 1910 Idaho St Ste 101
Elko, NV 89801-2635 - Phone
- (775) 777-7722
- Fax
- (775) 777-7900
- NPI assigned
- Jan 25, 2007
- Organization subpart
- Yes
- Parent organization
- RODNEY D STEWART
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Monyca L Jensen
- Title
- Office Manager
- Phone
- (775) 423-5233
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
1910 Idaho St Ste 101
Elko, NV 89801-2635
Mailing address
1910 Idaho St Ste 101
Elko, NV 89801-2635
Phone (775) 777-7722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100505290 | Medicaid | NV |
National Provider Directory
National Provider Directory- Tax ID family
- Ruby Mountain Physical Therapy
- Part of
- Ruby Mountain Physical Therapy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Fallon, NV
- NPI 1861561227
-
- Physical Therapist
- Ashland, OR
- NPI 1407044191
Locations
875 Railroad St
Elko, NV 89801
Phone (775) 777-7722
1910 Idaho St
Ste 101
Elko, NV 89801
Phone (775) 299-2820
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Elko, NV
- NPI 1285696435
-
- Physical Therapist
- Elko, NV
- NPI 1740335959
-
- Physical Therapist
- Elko, NV
- NPI 1750436978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679443200000",
"number": "1376698514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 IDAHO ST STE 101",
"city": "ELKO",
"state": "NV",
"postal_code": "898012635",
"telephone_number": "775-777-7722",
"fax_number": "775-777-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 IDAHO ST STE 101",
"city": "ELKO",
"state": "NV",
"postal_code": "898012635",
"telephone_number": "775-777-7722",
"fax_number": "775-777-7900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUBY MOUNTAIN PHYSICAL THERAPY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RODNEY D STEWART",
"enumeration_date": "2007-01-25",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "MONYCA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "775-423-5233",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100505290",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.