Active NPI
Chris L. Amundson, DPT
- Physical Therapist
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4779
- Practice address
- 615 Sierra Rose Drive
2A
Reno, NV 89511 - Phone
- (775) 828-9724
- Fax
- (775) 828-9728
- NPI assigned
- Jul 31, 2005
- Last updated
- Aug 1, 2007
- 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 Therapist | 225100000X | 4779 | OR | Primary |
Addresses
Primary practice location
615 Sierra Rose Drive
2A
Reno, NV 89511
Mailing address
615 Sierra Rose Drive
2A
Reno, NV 89511
Phone (775) 828-9724
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022695 | Medicaid | OR | |
| 067873000 | Other | OR | BLUE CROSS OF OREGON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1898 College Pkwy
Suite 102
Carson City, NV 89706-7926
Phone (775) 883-8800
2175 Green Vista Dr
Suite 210
Sparks, NV 89431-8510
Phone (775) 674-8903
615 Sierra Rose Dr
Reno, NV 89511-4009
Phone (775) 828-9724
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Premier Physical Therapy & Sports Performance
- Physical Therapist
- Reno, NV
- NPI 1104927342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1538169529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SIERRA ROSE DRIVE",
"address_2": "2A",
"city": "RENO",
"state": "NV",
"postal_code": "89511",
"telephone_number": "775-828-9724",
"fax_number": "775-828-9728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SIERRA ROSE DRIVE",
"address_2": "2A",
"city": "RENO",
"state": "NV",
"postal_code": "89511",
"telephone_number": "775-828-9724",
"fax_number": "775-828-9728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMUNDSON",
"first_name": "CHRIS",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-31",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022695",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF OREGON",
"identifier": "067873000",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.