Organization Active NPI

Redirect Athletics

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Reno, NV
National Provider Identifier
1538639745
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
REDIRECT ATHLETICS
Practice address
5655 Riggins CT Ste 7
Reno, NV 89502-6565
Phone
(775) 870-9589
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Mrs. Tisha Lagrone
Title
Owner
Phone
(775) 870-9589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

5655 Riggins CT Ste 7
Reno, NV 89502-6565

Mailing address

5655 Riggins CT Ste 7
Reno, NV 89502-6565

National Provider Directory

National Provider Directory

Locations

5655 Riggins Ct
Ste 7
Reno, NV 89502
Phone (775) 870-9589

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1538639745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 RIGGINS CT STE 7",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 RIGGINS CT STE 7",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026565",
            "telephone_number": "775-870-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDIRECT ATHLETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "LAGRONE",
        "authorized_official_first_name": "TISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-870-9589",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.