NPIMap

Organization Active NPI

Custom Physical Therapy Limited Partnership

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1669197752
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CUSTOM PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice address
440 E Golden Valley Rd Ste a&B
Reno, NV 89506-5722
Phone
(775) 360-3000
Fax
(775) 360-3156
NPI assigned
Oct 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Richard Binstein
Title
Evp
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

440 E Golden Valley Rd Ste a&B
Reno, NV 89506-5722

Mailing address

440 E Golden Valley Rd Ste a&B
Reno, NV 89506-5722
Phone (775) 360-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030822000006 NV Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1355252842 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reno, NV; Sparks, NV
O20040401001717 NV Part B Supplier - Clinic/Group Practice 1355252842 Receives reassigned benefits from 6 practitioners
Practice locations: Reno, NV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Custom Physical Therapy Limited Partnership4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11331 S Virginia St
Ste 3
Reno, NV 89511
Phone (775) 853-9966

440 E Golden Valley Rd
Ste Ab
Reno, NV 89506
Phone (775) 360-3000

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1669197752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E GOLDEN VALLEY RD STE A&B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895065722",
            "telephone_number": "775-360-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E GOLDEN VALLEY RD STE A&B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895065722",
            "telephone_number": "775-360-3000",
            "fax_number": "775-360-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "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 Oct 11, 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.