Ashwin T Datt, PT
Individual provider Active NPI Physical Therapist · Minden, NV
NPI 1437336492 · NPPES record last updated Apr 17, 2012
Key facts
- NPI
- 1437336492
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT2193 (NV)
- Practice address
- 1701 County Road
Suite B
Minden, NV 89423-4465 - Phone
- (775) 782-4466
- Fax
- (775) 783-9708
- NPI assigned
- Jan 22, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Great Basin Physical Therapy and Performance Center
Practice addresses (Care Compare)
1701 County Rd
Suite B
Minden, NV 89423-4465
Phone (775) 782-4466
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.58 of 100
- Quality
- 78.59
- Improvement activities
- 40
- Cost
- 77.14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080207000452 | NV | Practitioner - Physical Therapist in Private Practice | 3375626849 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34615 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| PT2193 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Basin Physical Therapy and Performance Center | Physical Therapist | Current |
Accepting new patients |
| High Desert Therapists, Inc | Physical Therapist | Past | Accepting new patients |
| High Desert Therapists, Inc | Physical Therapist | Past | Accepting new patients |
Locations
1701 County Rd
Ste B
Minden, NV 89423
Phone (775) 782-4466
1701 County Rd
Minden, NV 89423
Phone (775) 322-3269
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34615 | CA | |
| Physical Therapist | 225100000X | 2193 | NV | |
| Physical Therapist | 225100000X | PT2193 | NV | Yes |
Addresses
Primary practice location
1701 County Road
Suite B
Minden, NV 89423-4465
Mailing address
PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050
Other providers in Minden, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.