Custom Physical Therapy Limited Partnership is a medicare enrolled "Clinic/center - Physical Therapy" provider in Sparks, Nevada. Their current practice location is
1450 E Prater Way, Suite 103, Sparks, Nevada. You can reach out to their office (for appointments etc.) via phone at
(775) 331-1199.
Custom Physical Therapy Limited Partnership is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Custom Physical Therapy Limited Partnership
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1649285313.
Healthcare Provider's Profile
| Full Name | Custom Physical Therapy Limited Partnership |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 1450 E Prater Way, Sparks, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649285313
- Provider Enumeration Date: 07/30/2006
- Last Update Date: 09/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 1355252842
- Enrollment ID: O20030822000006
Medical Identifiers
Medical identifiers for Custom Physical Therapy Limited Partnership such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649285313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Custom Physical Therapy Limited Partnership is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Custom Physical Therapy Limited Partnership
1300 W Sam Houston Pkwy S, Suite 300,
Houston, TX 77042-2447
Ph: (713) 297-7000 | Custom Physical Therapy Limited Partnership
1450 E Prater Way, Suite 103,
Sparks, NV 89434-8972
Ph: (775) 331-1199 |
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