Individual provider Active NPI

Lance Lee Hipple, MPT

  • Physical Therapist
  • Minden, NV
National Provider Identifier
1689647554
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2429 Issued in NV
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11781301MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2429NVMDDentist
2692NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimized Health LLC CurrentSince Oct 20, 2024 Accepting new patients
High Desert Therapists, Inc Physical Therapist Past Accepting new patients
Sprint Sports Rehabilitation Inc Physical Therapist PastSince Feb 1, 2008 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.

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.

Verify at the official NPI Registry.