Active NPI
Tavener J Streit, D.P.T.
- Orthopedic Physical Therapist
- Reno, NV
National Provider Identifier
1952597049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2178
- Practice address
- 6630 S McCarran Blvd
Suite a-6
Reno, NV 89509-6135 - Phone
- (775) 828-2866
- Fax
- (775) 828-2891
- NPI assigned
- Sep 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2178 | NV | Primary |
Addresses
Primary practice location
6630 S McCarran Blvd
Suite a-6
Reno, NV 89509-6135
Mailing address
6630 S McCarran Blvd
Suite a-6
Reno, NV 89509-6135
Phone (775) 828-2866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34808 | CA | MD | Psychologist |
| 2178 | NV | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burger Physical Therapy and Rehabilitation Agency Inc | Past | Accepting new patients | |
| Results Physical Therapy and Training Center Inc. | Orthopedic | Past | Accepting new patients |
| Lcanderson LLC | Orthopedic | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1457333908
-
- Physical Therapist
- Sacramento, CA
- NPI 1861590713
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1952597049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6630 S MCCARRAN BLVD",
"address_2": "SUITE A-6",
"city": "RENO",
"state": "NV",
"postal_code": "895096135",
"telephone_number": "775-828-2866",
"fax_number": "775-828-2891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6630 S MCCARRAN BLVD",
"address_2": "SUITE A-6",
"city": "RENO",
"state": "NV",
"postal_code": "895096135",
"telephone_number": "775-828-2866",
"fax_number": "775-828-2891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREIT",
"first_name": "TAVENER",
"middle_name": "J",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-21",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NV",
"license": "2178",
"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 Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.