Organization Active NPI

Acosta Physical Therapy, LLC

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1770280588
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACOSTA PHYSICAL THERAPY, LLC
Practice address
3650 Mayberry Dr Ste 101-6
Reno, NV 89509-2131
Phone
(775) 235-2834
Fax
(702) 820-2654
NPI assigned
Feb 13, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Mr. Brendan Paul Acosta, DPTNPI 1386261725
Title
Doctor of Physical Therapy
Phone
(775) 745-4724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

3650 Mayberry Dr Ste 101-6
Reno, NV 89509-2131

Mailing address

1429 S Arlington Ave
Reno, NV 89509-2649
Phone (775) 745-4724

National Provider Directory

National Provider Directory

Locations

3650 Mayberry Dr
Ste 1016
Reno, NV 89509
Phone (775) 235-2834

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1770280588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 S ARLINGTON AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092649",
            "telephone_number": "775-745-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 MAYBERRY DR STE 101-6",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092131",
            "telephone_number": "775-235-2834",
            "fax_number": "702-820-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACOSTA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "775-745-4724",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "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 Sep 25, 2023; 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.