Organization Active NPI

Superior Physical Therapy

  • Specialist
  • Carson City, NV
National Provider Identifier
1881833903
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1041 Issued in NV
Legal business name
SUPERIOR PHYSICAL THERAPY
Practice address
206 S Minnesota St
Carson City, NV 89703-4267
Phone
(775) 841-5555
Fax
(775) 841-5563
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Mr. Craig McDonald McEwan
Title
Physical Theripist
Phone
(775) 841-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1041 NV Primary

Addresses

Primary practice location

206 S Minnesota St
Carson City, NV 89703-4267

Mailing address

206 S Minnesota St
Carson City, NV 89703-4267
Phone (775) 841-5555

National Provider Directory

National Provider Directory

Locations

206 S Minnesota St
Carson City, NV 89703
Phone (775) 841-5555

Practitioners & affiliated clinicians

Practitioners 1

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": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1881833903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S MINNESOTA ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034267",
            "telephone_number": "775-841-5555",
            "fax_number": "775-841-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MINNESOTA ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034267",
            "telephone_number": "775-841-5555",
            "fax_number": "775-841-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "MCEWAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MCDONALD",
        "authorized_official_title_or_position": "PHYSICAL THERIPIST",
        "authorized_official_telephone_number": "775-841-5555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.