Individual provider Active NPI

Marc Magstadt, PT

  • Physical Therapist
  • Sparks, NV
National Provider Identifier
1376997940
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2662 Issued in NV
Practice address
2175 Green Vista Dr Ste 210
Sparks, NV 89431-8510
Phone
(775) 674-8903
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2662 NV Primary

Addresses

Primary practice location

2175 Green Vista Dr Ste 210
Sparks, NV 89431-8510

Mailing address

3784 Kepler Dr
Sparks, NV 89436-7184
Phone (775) 250-4934

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160512000791 NV Practitioner - Physical Therapist in Private Practice 1355630435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kuhn Physical Therapy LLCGroup PAC ID 4284618083, 12 clinicians

Practice addresses (Care Compare)

2175 Green Vista Dr
Suite 210
Sparks, NV 89431-8510
Phone (775) 674-8903

615 Sierra Rose Dr
Reno, NV 89511-4009
Phone (775) 828-9724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2662NVMDPhysical Therapist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1376997940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3784 KEPLER DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367184",
            "telephone_number": "775-250-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 GREEN VISTA DR STE 210",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318510",
            "telephone_number": "775-674-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGSTADT",
        "first_name": "MARC",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.