Individual provider Active NPI

Jaqueline M Ovard, DPT

  • Physical Therapist
  • Minden, NV
National Provider Identifier
1831537653
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2829 Issued in NV
Practice address
1701 County Road
Suite B
Minden, NV 89423-4465
Phone
(775) 782-4466
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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 2829 NV Primary

Addresses

Primary practice location

1701 County Road
Suite B
Minden, NV 89423-4465

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050

Other identifiers 1

IdentifierTypeStateIssuer
2829OtherNVSTATE LICENSE

Other names 1

  • Jaqueline M Kvasnicka Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130731000125 NV Practitioner - Physical Therapist in Private Practice 9234370404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Basin Physical Therapy and Performance CenterGroup PAC ID 6305974007, 3 clinicians

Practice addresses (Care Compare)

1701 County Rd
Suite B
Minden, NV 89423-4465
Phone (775) 782-4466

Merit-based Incentive Payment System (MIPS)

Final score
84.58 of 100Reported as group
Quality
78.59
Improvement activities
40
Cost
77.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Basin Physical Therapy and Performance Center Physical Therapist CurrentSince Jun 10, 2013 Accepting new patients

Locations

1701 County Rd
Ste B
Minden, NV 89423
Phone (775) 782-4466

1701 County Rd
Minden, NV 89423
Phone (775) 322-3269

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1831537653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COUNTY ROAD",
            "address_2": "SUITE B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234465",
            "telephone_number": "775-782-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVARD",
        "first_name": "JAQUELINE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2829",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAQUELINE",
            "last_name": "KVASNICKA",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minden, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.