Active NPI
Chad J Backus, PT, DPT
- Physical Therapist
- Winnemucca, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1599
- Practice address
- 1973 Whitworth Way
Winnemucca, NV 89445-2948 - Phone
- (775) 625-2423
- Fax
- (775) 625-2423
- NPI assigned
- Jun 29, 2005
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1599 | NV | Primary |
Addresses
Primary practice location
1973 Whitworth Way
Winnemucca, NV 89445-2948
Mailing address
2826 Stuart St
Winnemucca, NV 89445-6156
Phone (775) 625-2423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003407004 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040420001442 | NV | Practitioner - Physical Therapist in Private Practice | 3577559285 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chad Backus Physical Therapy
Practice addresses (Care Compare)
1973 Whitworth Way
Winnemucca, NV 89445-2948
Phone (775) 304-1165
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Services B and Ris LLC | Physical Therapist | Current | Accepting new patients |
| Rehab & Industrial Services, LLC | Physical Therapist | Current | Accepting new patients |
| Chad Backus Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
325 Hanson St
Winnemucca, NV 89445
Phone (775) 625-2222
1973 Whitworth Way
Winnemucca, NV 89445
Phone (775) 304-1165
135 W 2nd St
Winnemucca, NV 89445
Phone (775) 623-4813
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.
-
- Physical Therapist
- Winnemucca, NV
- NPI 1700544764
NV, Physical Therapist
-
- Physical Therapist
- Eureka, NV
- NPI 1750568572
NV, Physical Therapist
-
- Physical Therapist
- Winnemucca, NV
- NPI 1245331404
NV, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1962409581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2826 STUART ST",
"city": "WINNEMUCCA",
"state": "NV",
"postal_code": "894456156",
"telephone_number": "775-625-2423",
"fax_number": "775-625-2423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1973 WHITWORTH WAY",
"city": "WINNEMUCCA",
"state": "NV",
"postal_code": "894452948",
"telephone_number": "775-625-2423",
"fax_number": "775-625-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKUS",
"first_name": "CHAD",
"middle_name": "J",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-29",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003407004",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winnemucca, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.