Organization Active NPI

Sierra Orthopaedic Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Reno, NV
National Provider Identifier
1871037200
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3372 Issued in NV
Legal business name
SIERRA ORTHOPAEDIC PHYSICAL THERAPY, LLC
Practice address
1875 Plumas St
Suite 4
Reno, NV 89509-3379
Phone
(775) 683-9041
Fax
(775) 683-9043
NPI assigned
Dec 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Kevin LesterNPI 1235467523
Title
Manager, Physical Therapist
Phone
(775) 683-9041

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3372 NV Primary

Addresses

Primary practice location

1875 Plumas St
Suite 4
Reno, NV 89509-3379

Mailing address

1875 Plumas St
Suite 4
Reno, NV 89509-3387
Phone (775) 683-9041

Other names 1

  • Sierra Orthopaedic Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170306001791 NV Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719261015 Receives reassigned benefits from 5 practitioners
Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Locations

1875 Plumas St
Ste 4
Reno, NV 89509
Phone (775) 683-9041

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1871037200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 PLUMAS ST",
            "address_2": "SUITE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093387",
            "telephone_number": "775-683-9041",
            "fax_number": "775-683-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 PLUMAS ST",
            "address_2": "SUITE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093379",
            "telephone_number": "775-683-9041",
            "fax_number": "775-683-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA ORTHOPAEDIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-04",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "775-683-9041"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NV",
            "license": "3372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Orthopaedic 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 Jul 19, 2022; 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.