NPI 1962409581 · live from the CMS NPI Registry
Chad J Backus, PT, DPT
Physical Therapist in Winnemucca, NV. National Provider Identifier 1962409581, active.
NPI record
| NPI | 1962409581 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1973 Whitworth Way, Winnemucca, NV 89445 |
| Practice phone | 775-625-2423 |
| Mailing address | 2826 Stuart St, Winnemucca, NV 89445 |
| Enumerated | June 29, 2005 |
| Last updated | September 13, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 1599 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.