Active NPI
Lance Lee Hipple, MPT
- Physical Therapist
- Minden, NV
National Provider Identifier
1689647554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2429
- Practice address
- 1701 County Road
Suite B
Minden, NV 89423-4465 - Phone
- (775) 782-4466
- Fax
- (775) 783-9708
- NPI assigned
- Feb 9, 2006
- Last updated
- Apr 17, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2692 | NM | |
| Physical Therapist | 225100000X | PT2429 | NV | Primary |
Addresses
Primary practice location
1701 County Road
Suite B
Minden, NV 89423-4465
Mailing address
PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11781301 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100921000517 | NV | Practitioner - Physical Therapist in Private Practice | 3375574346 | Practice locations: Minden, NV |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Minden, NV 89423
Phone (775) 781-6013
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2429 | NV | MD | Dentist |
| 2692 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimized Health LLC | Current | Accepting new patients | |
| High Desert Therapists, Inc | Physical Therapist | Past | Accepting new patients |
| Sprint Sports Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| Great Basin Physical Therapy and Performance Center | Physical Therapist | Past | Accepting new patients |
| High Desert Therapists, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
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 Optimized Health NV
- Physical Therapy Clinic/Center
- Minden, NV
- NPI 1225858897
-
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- NPI 1366769234
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- Physical Therapist
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- NPI 1083664734
-
- Physical Therapist
- Dayton, NV
- NPI 1861442501
-
- Physical Therapist
- Roswell, NM
- NPI 1316974017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1689647554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34120",
"city": "RENO",
"state": "NV",
"postal_code": "895334120",
"telephone_number": "775-747-5050",
"fax_number": "775-747-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 COUNTY ROAD",
"address_2": "SUITE B",
"city": "MINDEN",
"state": "NV",
"postal_code": "894234465",
"telephone_number": "775-782-4466",
"fax_number": "775-783-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIPPLE",
"first_name": "LANCE",
"middle_name": "LEE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "2692",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "PT2429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11781301",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minden, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.