Organization
WILDCREEK PHYSICAL THERAPY, INC.
Active
Organization
WILDCREEK PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN MARIE JUNTA P.T. (CEO)
(775) 673-9700
Entity
Organization
Contact information
Practice address
2255 GREEN VISTA DR, STE. 401, SPARKS, NV 89431-8534
(775) 673-9700
(775) 673-9799
Mailing address
2255 GREEN VISTA DR, STE. 401, SPARKS, NV 89431-8534
(775) 673-9700
(775) 673-9799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NV213
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003416002
—
NV
01
—
7634
BCBS
NV
01
—
RPT213
MEDICARE
NV
Enumeration date
04/17/2008
Last updated
05/14/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up