Melinda Vicencio, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2875 Issued in NV

Practice address

680 W Nye LN
Suite 205
Carson City, NV 89703-1575

Phone

(775) 882-2211

NPI assigned

Jul 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melinda Rienau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1881047827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 W NYE LN",
            "address_2": "SUITE 205",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031575",
            "telephone_number": "775-882-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 W NYE LN",
            "address_2": "SUITE 205",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031575",
            "telephone_number": "775-882-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENCIO",
        "first_name": "MELINDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "RIENAU",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia L Veal, APRN
• Jamen Vedova
• Ariel Vernon
• Isanne E Vetter
• Sheri Lee Vial, P.T.
• Madison Taylor Vickers, CADC-I
• Miguel Angel Villagra-Diaz, MD
• Susan Villasenor
• Lorenzo Briones Villegas, MSN, APRN, FNP-BC
• Dinadelle Barroso Viola, MD

• Physical Therapist in Carson City, NV
• Providers in Carson City, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.