KIME PERFORMANCE NEVADA LLC (NPI# 1053918185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053918185 |
| Entity Type | Organization |
| Organization Name | KIME PERFORMANCE NEVADA LLC |
| Practice Address |
5301 Longley Ln Ste 81 Reno NV 89511-1868 |
| Practice Telephone | 9169056378 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | ANTHONY R MIKLA (CEO) |
| Authorized Official Telephone | 9163424190 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
5301 LONGLEY LN STE 81 |
| City | RENO |
| State | NV |
| Zip Code | 89511-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426984 | Namaste Mobile | Clinic/Center | 3250 Plumas St Apt 310, Reno, NV 89509-4744 | 2020-04-20 |
| 1437780517 | Lcanderson LLC | Clinic/Center | 6630 S Mccarran Blvd Ste A6, Reno, NV 89509-6136 | 2020-01-28 |
| 1609438381 | Neurofit Wellness & Physical Therapy, LLC | Clinic/Center | 499 W Plumb Ln Ste 203, Reno, NV 89509-3783 | 2019-07-02 |
| 1932624632 | Laurel Patricia Hassebrock-shanley | Clinic/Center | 1495 Ridgeview Dr Ste 120, Reno, NV 89519-6315 | 2017-08-03 |
| 1912437583 | Functional Fitness LLC | Clinic/Center | 4790 Caughlin Pkwy # 525, Reno, NV 89519-0907 | 2017-06-15 |
| 1578989950 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 3201 Plumas Street, Reno, NV 89509-4785 | 2014-03-10 |
| 1447461041 | Balance Institute of Northern Nevada Inc. | Clinic/Center | Integrated Health Center U N R 1664n Virginia St, M-s 274, Reno, NV 89557-0001 | 2007-05-24 |
| 1235263864 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1530 E. 6th St., Reno, NV 89512 | 2007-03-15 |
| 1740246933 | Rappaport and Kip Ltd | Clinic/Center | 6630 So Mccarran Blvd, A-6, Reno, NV 89059-6163 | 2006-04-25 |
| 1194252908 | Pacrav Physical Therapy | Clinic/Center | 6100 Plumas St, Suite 201, Reno, NV 89519-6058 | 2017-05-11 |
| Find all providers in RENO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.