Individual provider Active NPI

Chad J Backus, PT, DPT

  • Physical Therapist
  • Winnemucca, NV
National Provider Identifier
1962409581
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1599 Issued in NV
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

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003407004MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 TherapyGroup PAC ID 6800287418, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Rehab Services B and Ris LLC Physical Therapist CurrentSince Feb 20, 2004 Accepting new patients
Rehab & Industrial Services, LLC Physical Therapist CurrentSince Feb 20, 2004 Accepting new patients
Chad Backus Physical Therapy Physical Therapist CurrentSince Dec 1, 2021 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.

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.

Verify at the official NPI Registry.