Active NPI
Premier Physical Therapy
- Physical Therapy Clinic/Center
- Elko, NV
National Provider Identifier
1649237876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1463
- Legal business name
- PREMIER PHYSICAL THERAPY
- Practice address
- 2213 North 5TH Steet
Suite B
Elko, NV 89801-2471 - Phone
- (775) 777-0901
- Fax
- (775) 777-0923
- NPI assigned
- May 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Marc Patten Grow, P.T.
- Title
- Physical Therapist / Owner
- Phone
- (775) 777-0901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 1463 | NV | Primary |
Addresses
Primary practice location
2213 North 5TH Steet
Suite B
Elko, NV 89801-2471
Mailing address
2213 North 5TH Steet
Suite B
Elko, NV 89801-2471
Phone (775) 777-0901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2213 N 5th St
Ste B
Elko, NV 89801
Phone (775) 322-1200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Elko, NV
- NPI 1518261668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195084800000",
"number": "1649237876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 NORTH 5TH STEET",
"address_2": "SUITE B",
"city": "ELKO",
"state": "NV",
"postal_code": "898012471",
"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 NORTH 5TH STEET",
"address_2": "SUITE B",
"city": "ELKO",
"state": "NV",
"postal_code": "898012471",
"telephone_number": "775-777-0901",
"fax_number": "775-777-0923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2007-11-15",
"status": "A",
"authorized_official_last_name": "GROW",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "PATTEN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
"authorized_official_telephone_number": "775-777-0901",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NV",
"license": "1463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elko, NV
- Tessa Pope
- Christine Potterjones, MD
- Carrie E. Power, APN, MSN, FNP-C
- Lilia Celene Prado
- Olivia Marie Pratt, PTA
- Premise Health of Nevada Medical Hinitt PC (Golden Health Family Medical Center)
- Jeffrey L. Price, CADC, LCSW
- Stephen Calvert Price, D.D.S.
- Primary Choice Health and Wellness PLLC (Primary Choice Health and Wellness)
- Vanessa Rene Pruessing
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.