Active NPI
Kelcey Aguirre Hidalgo, PT
- Physical Therapist
- Gardnerville, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4585
- Practice address
- 1565 Virginia Ranch Rd
Gardnerville, NV 89410-5704 - Phone
- (775) 782-3100
- Fax
- (253) 631-3899
- NPI assigned
- Nov 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60645613 | WA | |
| Physical Therapist | 225100000X | 4585 | NV | Primary |
Addresses
Primary practice location
1565 Virginia Ranch Rd
Gardnerville, NV 89410-5704
Mailing address
1565 Virginia Ranch Rd
Gardnerville, NV 89410-5704
Phone (877) 295-3747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60645613 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Orthopaedic and Neurological Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| Puget Sound Health and Rehab LLC | Physical Therapist | Past | Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917
2620 Robindale Rd
Henderson, NV 89074
Phone (702) 992-0000
5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964
5255 Kietzke Ln
Reno, NV 89511
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Las Vegas, NV
- NPI 1457087009
-
- Rehabilitation Clinic/Center
- Billings, MT
- NPI 1225496540
NV, Physical Therapist
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
-
dba OnPoint Physical Therapy
- Physical Therapist
- Kent, WA
- NPI 1770034837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1942846407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 VIRGINIA RANCH RD",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894105704",
"telephone_number": "877-295-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 VIRGINIA RANCH RD",
"city": "GARDNERVILLE",
"state": "NV",
"postal_code": "894105704",
"telephone_number": "775-782-3100",
"fax_number": "253-631-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDALGO",
"first_name": "KELCEY",
"middle_name": "AGUIRRE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-20",
"last_updated": "2022-01-17",
"certification_date": "2022-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60645613",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardnerville, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.