Tess Jansse
Individual provider Active NPI Physical Therapist · Genoa, NV
NPI 1871972091 · NPPES record last updated Nov 10, 2021
Key facts
- NPI
- 1871972091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2697 (NV)
- Practice address
- 2314 Main St
Genoa, NV 89411-1542 - Phone
- (177) 579-0301
- NPI assigned
- May 20, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neuthrive LLC
Practice addresses (Care Compare)
1600 State Route 88
Minden, NV 89423-4601
Phone (775) 790-3012
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220607000416 | NV | Practitioner - Physical Therapist in Private Practice | 9739566696 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2697 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuthrive LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1493 Medical Pkwy
Carson City, NV 89703
Phone (775) 283-3317
1600 State Route 88
Minden, NV 89423
Phone (775) 790-3012
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2697 | NV | Yes |
Addresses
Primary practice location
2314 Main St
Genoa, NV 89411-1542
Mailing address
PO Box 1335
Genoa, NV 89411-1335
Phone (775) 790-3012
Other providers in Genoa, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.