Individual provider Active NPI

Crista A Jacobe-Mann, RPT

  • Specialist
  • Reno, NV
National Provider Identifier
1922208933
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2106 Issued in NV
Practice address
900 N Virginia St
Sportsmedicince Complex
Reno, NV 89507
Phone
(775) 784-1999
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2106 NV Primary

Addresses

Primary practice location

900 N Virginia St
Sportsmedicince Complex
Reno, NV 89507

Mailing address

PO Box 8940
Reno, NV 89507-8940
Phone (775) 784-1999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000421 NV Practitioner - Physical Therapist in Private Practice 5597859124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Physical Therapy IncGroup PAC ID 2668476987, 9 clinicians

Practice addresses (Care Compare)

1413 S Virginia St
Reno, NV 89502-2805
Phone (775) 507-4210

5255 Longley LN
Suite 140
Reno, NV 89511-5201
Phone (775) 823-5350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Physical Therapy Inc CurrentSince May 1, 2007 Accepting new patients

Locations

1413 S Virginia St
Reno, NV 89502
Phone (775) 507-4210

5255 Longley Ln
Ste 140
Reno, NV 89511
Phone (775) 507-7024

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1922208933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8940",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895078940",
            "telephone_number": "775-784-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N VIRGINIA ST",
            "address_2": "SPORTSMEDICINCE COMPLEX",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89507",
            "telephone_number": "775-784-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBE-MANN",
        "first_name": "CRISTA",
        "middle_name": "A",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.