Individual provider Active NPI

Chad L Loberg, MSPT

  • Orthopedic Physical Therapist
  • Elko, NV
National Provider Identifier
1518261668
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1510 Issued in NV
Practice address
2213 N 5TH St
Suite B
Elko, NV 89801-2484
Phone
(775) 777-0901
Fax
(775) 777-0923
NPI assigned
Jan 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1510 NV Primary

Addresses

Primary practice location

2213 N 5TH St
Suite B
Elko, NV 89801-2484

Mailing address

2213 N 5TH St
Suite B
Elko, NV 89801-2484
Phone (775) 777-0901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110421000461 NV Practitioner - Physical Therapist in Private Practice 5496930257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2213 N 5TH St
Suite B
Elko, NV 89801-2471
Phone (775) 777-0901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1510NVMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy CurrentSince Mar 1, 2011 Accepting new patients

Locations

2213 N 5th St
Ste B
Elko, NV 89801
Phone (775) 322-1200

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": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1518261668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 N 5TH ST",
            "address_2": "SUITE B",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012484",
            "telephone_number": "775-777-0901",
            "fax_number": "775-777-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 N 5TH ST",
            "address_2": "SUITE B",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012484",
            "telephone_number": "775-777-0901",
            "fax_number": "775-777-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBERG",
        "first_name": "CHAD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NV",
            "license": "1510",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 4, 2011; 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.