Organization Active NPI

First Choice Physical Therapy

  • Physical Therapist
  • Elko, NV
National Provider Identifier
1801336169
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FIRST CHOICE PHYSICAL THERAPY
Practice address
2072 Idaho St
Elko, NV 89801-2627
Phone
(775) 777-1276
NPI assigned
Mar 6, 2017
Last updated
Aug 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Mr. Samuel L Moore, DPTNPI 1225418999
Title
Sole Member/DPT
Phone
(775) 962-2047

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2072 Idaho St
Elko, NV 89801-2627

Mailing address

248 Country Club Pkwy
Spring Creek, NV 89815
Phone (775) 777-1276

Other practice location 1

617 Main St
Carlin, NV 89822
Phone (775) 777-1276

Other practice location 2

248 Country Club Pkwy
Spring Creek, NV 89815-5830
Phone (775) 777-1276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170412000595 NV Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8921384611 Receives reassigned benefits from 7 practitioners
Practice locations: Elko, NV; Spring Creek, NV; Carlin, NV
O20180629001968 NV DME Supplier - Independently-Practicing Physical Therapist 8921384611 Practice locations: Spring Creek, NV

National Provider Directory

National Provider Directory

Locations

248 Country Club Pkwy
Spring Creek, NV 89815
Phone (775) 254-8587

Practitioners & affiliated clinicians

Practitioners 8

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": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1801336169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 COUNTRY CLUB PKWY",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "89815",
            "telephone_number": "775-777-1276",
            "fax_number": "775-777-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012627",
            "telephone_number": "775-777-1276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 Main St",
            "address_purpose": "LOCATION",
            "city": "Carlin",
            "state": "NV",
            "postal_code": "89822",
            "country_code": "US",
            "telephone_number": "775-777-1276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248 Country Club Pkwy",
            "address_purpose": "LOCATION",
            "city": "Spring Creek",
            "state": "NV",
            "postal_code": "898155830",
            "country_code": "US",
            "telephone_number": "775-777-1276",
            "fax_number": "775-777-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST CHOICE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER/DPT",
        "authorized_official_telephone_number": "775-962-2047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.