Active NPI
Andrea Pusatero, LMT
- Mechanotherapist
- Dayton, NV
National Provider Identifier
1487480216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 12429
- Practice address
- 127 Creekside Dr
Dayton, NV 89403-6357 - Phone
- (775) 225-9523
- NPI assigned
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 12429 | NV | Primary |
Addresses
Primary practice location
127 Creekside Dr
Dayton, NV 89403-6357
Mailing address
127 Creekside Dr
Dayton, NV 89403-6357
Phone (775) 225-9523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12429 | NV | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1487480216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 CREEKSIDE DR",
"city": "DAYTON",
"state": "NV",
"postal_code": "894036357",
"telephone_number": "775-225-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 CREEKSIDE DR",
"city": "DAYTON",
"state": "NV",
"postal_code": "894036357",
"telephone_number": "775-225-9523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUSATERO",
"first_name": "ANDREA",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NV",
"license": "12429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.