Individual provider Active NPI

Amie Stoddard, PT, DPT

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1710150727
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2203 Issued in NV
Practice address
1664 N Virginia St,
Unr Campus Unr Sports Medicine Complex
Reno, NV 89507
Phone
(775) 784-1999
Fax
(775) 784-1995
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2203 NV Primary

Addresses

Primary practice location

1664 N Virginia St,
Unr Campus Unr Sports Medicine Complex
Reno, NV 89507

Mailing address

PO Box 8940
Unr Sports Medicine Complex
Reno, NV 89507-8940
Phone (775) 784-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2203NVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1710150727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8940",
            "address_2": "UNR SPORTS MEDICINE COMPLEX",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895078940",
            "telephone_number": "775-784-1999",
            "fax_number": "775-784-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST,",
            "address_2": "UNR CAMPUS UNR SPORTS MEDICINE COMPLEX",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89507",
            "telephone_number": "775-784-1999",
            "fax_number": "775-784-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "AMIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2203",
            "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 Jan 27, 2014; 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.