Bluebird Manual Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLUEBIRD MANUAL THERAPY LLC

Practice address

623 W Washington St Ste B
Carson City, NV 89703-3837

Phone

(775) 364-0700

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Anne Cates Gerdes, MPTNPI 1851407555

Title

Managing Member

Phone

(775) 364-0700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Anne Cates Gerdes, MPT

  • Physical Therapist
  • Carson City, NV
  • NPI 1851407555
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1649988023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W WASHINGTON ST STE B",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033837",
            "telephone_number": "775-364-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W WASHINGTON ST STE B",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033837",
            "telephone_number": "775-364-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD MANUAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "GERDES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANNE CATES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "775-364-0700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Blanchard, PA-C
• Taylor Daniel Blattenberger, DPT
• Kristina Elizabeth Blevins
• Lola Blinn
• Jason Blocker
• Austin Lee Blystone
• Brent Boardman, PT
• Derek Bobst, APRN
• Rebekah Bock, LCSW
• Stephen Ross Bodine, PT, DPT

• Physical Therapy Clinic/Center in Carson City, NV
• Providers in Carson City, NV by specialty
• Physical Therapy Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.

Verify at the official NPI Registry.