Neuthrive LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NEUTHRIVE LLC

Practice address

2314 Main St
Genoa, NV 89411-1542

Phone

(775) 790-3012

Fax

(775) 392-2266

NPI assigned

Nov 1, 2021

Last updated

Nov 10, 2021By 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

Tess Marie Jansse, PTNPI 1871972091

Title

Owner

Phone

(775) 790-3012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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.

• Tess Jansse

  • Physical Therapist
  • Genoa, NV
  • NPI 1871972091
  Medicare reassignment Care Compare group NPD Authorized official
• Justine Anderson, PT, DPT

  • Physical Therapist
  • Carson City, NV
  • NPI 1952792624
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1396400818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1335",
            "city": "GENOA",
            "state": "NV",
            "postal_code": "894111335",
            "telephone_number": "775-790-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 MAIN ST",
            "city": "GENOA",
            "state": "NV",
            "postal_code": "894111542",
            "telephone_number": "775-790-3012",
            "fax_number": "775-392-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUTHRIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "JANSSE",
        "authorized_official_first_name": "TESS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-790-3012",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tess Jansse
• Michael Neff

• Physical Therapy Clinic/Center in Genoa, NV
• Providers in Genoa, 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 Nov 10, 2021; 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.