Active NPI
Nicholas D'Agostino, PT
- Physical Therapist
- Reno, NV
National Provider Identifier
1851929798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4090
- Practice address
- Reno Orthopedic Sports Med Complex E Stadium Way
Reno, NV 89557-0001 - Phone
- (775) 784-1999
- NPI assigned
- Mar 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4090 | NV | Primary |
Addresses
Primary practice location
Reno Orthopedic Sports Med Complex E Stadium Way
Reno, NV 89557-0001
Mailing address
5255 Longley LN Ste 140
Reno, NV 89511-5201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5255 Longley LN
Suite 140
Reno, NV 89511-5201
Phone (775) 823-5350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
1413 S Virginia St
Reno, NV 89502
Phone (775) 507-4210
5255 Longley Ln
Ste 140
Reno, NV 89511
Phone (775) 507-7024
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.
-
- Physical Therapist
- Reno, NV
- NPI 1306802533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1851929798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 LONGLEY LN STE 140",
"city": "RENO",
"state": "NV",
"postal_code": "895115201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RENO ORTHOPEDIC SPORTS MED COMPLEX E STADIUM WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895570001",
"telephone_number": "775-784-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AGOSTINO",
"first_name": "NICHOLAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-27",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4090",
"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 Mar 27, 2020; 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.