NPIMap

Organization Active NPI

Physical Therapy Specialist

  • Physical Therapy Clinic/Center
  • Minden, NV
National Provider Identifier
1710071469
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1281 Issued in NV
Legal business name
PHYSICAL THERAPY SPECIALIST
Practice address
1625 Hwy 88
Suite 302
Minden, NV 89423
Phone
(775) 782-4422
Fax
(775) 782-4232
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
William Scott Wall, MPT, OCS
Title
Physical Therapist
Phone
(775) 782-4422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1281 NV Primary

Addresses

Primary practice location

1625 Hwy 88
Suite 302
Minden, NV 89423

Mailing address

1625 Hwy 88
Suite 302
Minden, NV 89423
Phone (775) 782-4422

National Provider Directory

National Provider Directory

Locations

1625 State Route 88
Ste 302
Minden, NV 89423
Phone (775) 782-4422

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1710071469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 HWY 88",
            "address_2": "SUITE 302",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "89423",
            "telephone_number": "775-782-4422",
            "fax_number": "775-782-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 HWY 88",
            "address_2": "SUITE 302",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "89423",
            "telephone_number": "775-782-4422",
            "fax_number": "775-782-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "775-782-4422",
        "authorized_official_credential": "MPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NV",
            "license": "1281",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.