Dayton Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DAYTON PHYSICAL THERAPY LLC

Practice address

244 Dayton Valley Rd Unit 103
Dayton, NV 89403-8933

Phone

(752) 412-8297

Fax

(775) 241-2297

NPI assigned

Dec 29, 2020

Organization subpart

No

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

Authorized official

Name

Micahel Charles Tuttle, PT

Title

Physical Therapist

Phone

(928) 713-6923

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

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

• Michael Charles Tuttle, DPT

  • Physical Medicine & Rehabilitation Physician
  • Fernley, NV
  • NPI 1386136620
  Medicare reassignment NPD

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1760079412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 BLUE HAVEN LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014851",
            "telephone_number": "928-713-6923",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 DAYTON VALLEY RD UNIT 103",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894038933",
            "telephone_number": "752-412-8297",
            "fax_number": "775-241-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "MICAHEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "928-713-6923",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annika Stasa Chryssos, PA STUDENT
• Robert S. Chudnow, M.D.
• Vincent D Cornish, AA/LA; AS/FT.; H
• Anne May Genove Dalao, RN
• Dayton Medical Associates
• Dayton Valley Family Therapy
• Yvonne De la Paix
• Marissa A Delgadillo
• Desert Rose Wellness Centers of America a Close Corporation
• Destaine Dewey

• Physical Therapist in Dayton, NV
• Providers in Dayton, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.