NPIMap

Organization Active NPI

Sidener Physical Therapy LLC

Doing business as Reno Sport and Spine Institute

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1881739571
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SIDENER PHYSICAL THERAPY LLC
Doing business as
Reno Sport and Spine Institute
Practice address
15 McCabe Dr Ste 101
Reno, NV 89511-4815
Phone
(775) 788-5599
Fax
(775) 788-5598
NPI assigned
Feb 20, 2007
Last updated
Apr 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Bradley Sidener, P.T.NPI 1396826632
Title
President
Phone
(775) 788-5599

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

15 McCabe Dr Ste 101
Reno, NV 89511-4815

Mailing address

15 McCabe Dr Ste 101
Reno, NV 89511-4815
Phone (775) 788-5599

Other names 1

  • Reno Sport and Spine Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050304000112 NV Part B Supplier - Clinic/Group Practice 9436103249 Receives reassigned benefits from 13 practitioners
Practice locations: Sparks, NV; Reno, NV

National Provider Directory

National Provider Directory

Locations

15 McCabe Dr
Ste 101
Reno, NV 89511
Phone (775) 331-3030

4798 Caughlin Pkwy
Ste B
Reno, NV 89519
Phone (775) 284-4774

5590 Kietzke Ln
#101
Reno, NV 89511
Phone (775) 284-4774

9400 Double Diamond Pkwy
Reno, NV 89521
Phone (775) 848-0540

875 Roberta Ln
Ste 102
Sparks, NV 89431
Phone (775) 331-3030

970 Roberta Ln
Ste 100
Sparks, NV 89431
Phone (775) 331-3030

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1881739571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MCCABE DR STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114815",
            "telephone_number": "775-788-5599",
            "fax_number": "775-788-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MCCABE DR STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114815",
            "telephone_number": "775-788-5599",
            "fax_number": "775-788-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDENER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "SIDENER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-788-5599",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reno Sport and Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reno Sport and Spine Institute",
            "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 Apr 12, 2021; 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.