Organization Active NPI

Spevak Physical Therapy Nevada LLC

  • Orthopedic Physical Therapist
  • Reno, NV
National Provider Identifier
1841567344
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SPEVAK PHYSICAL THERAPY NEVADA LLC
Doing business as
Active Physical Therapy
Practice address
3594 W Plumb LN
Suite B
Reno, NV 89509-3696
Phone
(775) 786-2400
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Dr. Michael J Spevak, D.P.T., O.C.S.
Title
President
Phone
(775) 786-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

3594 W Plumb LN
Suite B
Reno, NV 89509-3696

Mailing address

3594 W Plumb LN
Suite B
Reno, NV 89509-3696
Phone (775) 786-2400

Other names 1

  • Active Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3594 W Plumb Ln
Ste B
Reno, NV 89509
Phone (775) 786-2400

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1841567344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3594 W PLUMB LN",
            "address_2": "SUITE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093696",
            "telephone_number": "775-786-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3594 W PLUMB LN",
            "address_2": "SUITE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093696",
            "telephone_number": "775-786-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEVAK PHYSICAL THERAPY NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "SPEVAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-786-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T., O.C.S."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 30, 2024; 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.