Chad Backus Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CHAD BACKUS PHYSICAL THERAPY

Practice address

2826 Stuart St
Winnemucca, NV 89445-6156

Phone

(775) 304-1165

NPI assigned

Dec 7, 2021

Organization subpart

No

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

Authorized official

Name

Chad Backus, DPTNPI 1962409581

Title

Owner

Phone

(775) 304-1165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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

• Chad J Backus, PT, DPT

  • Physical Therapist
  • Winnemucca, NV
  • NPI 1962409581

  NV, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Dacey Jensen, DPT

  • Physical Therapist
  • Winnemucca, NV
  • NPI 1508522798

  NV, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1700544764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 STUART ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894456156",
            "telephone_number": "775-304-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 STUART ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894456156",
            "telephone_number": "775-304-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD BACKUS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "BACKUS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-304-1165",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Michael Burke, AEMT
• Carole Cain, RN, CRNA
• Tina Carbone, FNP
• Autumn Faith Cavender
• Tyler Celey-Butlin, DC
• Emily Champa
• Jahala Chatman
• Lee Thomas Church, M.D.
• Jaime Lee Clemens, CADC
• Michael Cogsdill, PARAMEDIC

• All providers in Winnemucca, NV
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.