Nora Radakovich

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0360 Issued in WY

Practice address

1325 Sage St
Rock Springs, WY 82901-7478

Phone

(307) 362-3780

NPI assigned

Oct 17, 2017

Last updated

Oct 17, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1902317068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 CHERRYWOOD LN",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014346",
            "telephone_number": "307-350-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SAGE ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829017478",
            "telephone_number": "307-362-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADAKOVICH",
        "first_name": "NORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WY",
            "license": "0360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Marie Putnam
• QRC LLC
• QRC, LLC
• Kari Lynn Quickenden, PHARMD.
• Ty Charles Quickenden, D.C.
• Jesus Francisco Ramirez Jr., DPT, PT
• Ramsey Eye Care Center, P.C.
• Coby Shane Ramsey, O.D.
• Randall B. Rice, MD PC
• Darrell Rasdall

• Physical Therapy Assistant in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Physical Therapy Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.