ELITE SPORTS MEDICINE LLC (NPI# 1104095611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104095611 |
| Entity Type | Organization |
| Organization Name | ELITE SPORTS MEDICINE LLC |
| Practice Address |
1875 Plumas St Ste 6a Reno NV 89509-3387 |
| Mailing Address |
1875 Plumas St Ste 6a Reno NV 89509-3321 |
| Practice Telephone | 7757865333 |
| Practice Fax Number | 7757865336 |
| Mailing Telephone | 7757865333 |
| Mailing Fax Number | 7757865336 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-03-13 |
| Authorized Official Name | DR. TRACEY GIAMBRONE (OWNER) |
| Authorized Official Telephone | 7757865333 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2060 | NV | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | INDIVIDUAL NPI | 1861413445 | 01 |
| Street Address |
1875 PLUMAS ST STE 6A |
| City | RENO |
| State | NV |
| Zip Code | 89509-3387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992579 | Associated Therapy Resources Inc | Physical Therapist | 1875 Plumas St, Suite 4, Reno, NV 89509-3321 | 2005-09-20 |
| 1871037200 | Sierra Orthopaedic Physical Therapy, LLC | Clinic/Center | 1875 Plumas St, Suite 4, Reno, NV 89509-3379 | 2016-12-04 |
| 1508232760 | Kiley Lester | Physical Therapist | 1875 Plumas St, Suite 4, Reno, NV 89509-3379 | 2015-08-11 |
| 1235467523 | Kevin Frederick Lester | Physical Therapist | 1875 Plumas St, Ste 4, Reno, NV 89509-3387 | 2009-11-24 |
| 1417942079 | Timothy Joseph Bertrand | Physical Therapist | 1875 Plumas St, Ste 4, Reno, NV 89509-3321 | 2005-09-20 |
| 1386639953 | Sheila Mae Bertrand | Physical Therapist | 1875 Plumas St, Ste 4, Reno, NV 89509 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760827570 | C Craig Karrasch Dpm Ltd | Podiatrist | 435 W Plumb Ln, Reno, NV 89509-3766 | 2013-05-07 |
| 1760748487 | Franklin Nebeker | Podiatrist | 10463 Double R Blvd Ste 100, Reno, NV 89521-8908 | 2012-04-06 |
| 1558668475 | Dallas R Penrod | Podiatrist | 5605 Riggins Ct Ste 103, Reno, NV 89502-6575 | 2011-02-13 |
| 1861413445 | Tracey E Giambrone | Podiatrist | 3400 Kauai Ct, Suite #103, Reno, NV 89509-4850 | 2006-07-21 |
| 1184628174 | Michael Richard Kressler | Podiatrist | 5605 Riggins Ct, Ste 103, Reno, NV 89502-6575 | 2005-06-08 |
| 1699149682 | F. Keith Nebeker, D.p.m., PC | Podiatrist | 10463 Double R Blvd Ste 100, Reno, NV 89521-8908 | 2015-11-14 |
| 1295904183 | Raymond Roberts, Dpm, Ltd | Podiatrist | 6580 S Mccarran Blvd, Ste. D-1, Reno, NV 89509-6112 | 2008-02-25 |
| 1942352760 | Raymond G Roberts | Podiatrist | 6580 S Mccarran Blvd, Ste. D-1, Reno, NV 89509-6112 | 2007-01-18 |
| 1427124858 | Joseph Earl Chambers | Podiatrist | 75 Pringle Way, Suite 302, Reno, NV 89502-1464 | 2006-11-28 |
| 1700963329 | Michael B Aramini Dpm Ltd | Podiatrist | 343 Elm St, Ste 302, Reno, NV 89503-4540 | 2006-11-01 |
| Find all providers in RENO | ||||
Please comment or provide details below to improve the information on ELITE SPORTS MEDICINE LLC.
| 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.