Wildcreek Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

NV213 Issued in NV

Legal business name

WILDCREEK PHYSICAL THERAPY, INC.

Practice address

2255 Green Vista Dr
Ste. 401
Sparks, NV 89431-8534

Phone

(775) 673-9700

Fax

(775) 673-9799

NPI assigned

Apr 17, 2008

Last updated

May 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Marie Junta, P.T.NPI 1952409104

Title

Ceo

Phone

(775) 673-9700

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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.

• Carolyn Marie Junta, P.T.

  • Orthopedic Physical Therapist
  • Sparks, NV
  • NPI 1952409104
  Authorized official Same address or phone

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1821262031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 GREEN VISTA DR",
            "address_2": "STE. 401",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318534",
            "telephone_number": "775-673-9700",
            "fax_number": "775-673-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 GREEN VISTA DR",
            "address_2": "STE. 401",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318534",
            "telephone_number": "775-673-9700",
            "fax_number": "775-673-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDCREEK PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "JUNTA",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-673-9700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "NV213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "RPT213",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7634",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TINCARE",
            "identifier": "RPT213",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003416002",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy White
• Lujean Whitmore
• Kelly Maureen Whyte, MFT INTERN
• Kristen Summer Wilcox
• Wildcreek Family Medical Center
• Wildcreek Surgery Center
• Rachel Wilde, DPT
• Molly Marie Wilder, APRN
• Bryan D Wildman, MA
• Wiley Care Homes, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.