Active NPI
Duncan Timothy Secor, DPT
- Physical Medicine & Rehabilitation Physician
- Elko, NV
National Provider Identifier
1518470822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 3662
- Practice address
- 620 S 12TH St Ste 110
Elko, NV 89801-4010 - Phone
- (775) 738-0818
- Fax
- (775) 738-0814
- NPI assigned
- Nov 8, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 3662 | NV | Primary |
Addresses
Primary practice location
620 S 12TH St Ste 110
Elko, NV 89801-4010
Mailing address
620 S 12TH St Ste 110
Elko, NV 89801-4010
Phone (775) 738-0818
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3662 | NV | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT 360 Inc | Current | Accepting new patients | |
| Vermont Physical Therapy PLC | Current | Accepting new patients |
Locations
120 Graham Way
Ste 110
Shelburne, VT 05482
Phone (802) 657-7990
426 Industrial Ave
Ste 190
Williston, VT 05495
Phone (802) 657-7990
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Williston, VT
- NPI 1609183177
-
- Physical Therapist
- Shelburne, VT
- NPI 1265717409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1518470822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 S 12TH ST STE 110",
"city": "ELKO",
"state": "NV",
"postal_code": "898014010",
"telephone_number": "775-738-0818",
"fax_number": "775-738-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S 12TH ST STE 110",
"city": "ELKO",
"state": "NV",
"postal_code": "898014010",
"telephone_number": "775-738-0818",
"fax_number": "775-738-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECOR",
"first_name": "DUNCAN",
"middle_name": "TIMOTHY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NV",
"license": "3662",
"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 Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.