Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1720170475
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
207, East Prater Way, Sparks, Washoe County, Nevada, 89431, United States
SPARKS, NV 894349634
Phone: (775) 356-4067
Fax: (775) 356-5590
Type: Mailing
Aiken Regional Medical Center, 302, University Parkway, Westcliff, Aiken, Aiken County, South Carolina, 29801, United States
INPATIENT REHABILITATION
AIKEN, SC 298016302
Phone: (803) 293-4372
Fax: (803) 648-1631
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89434)
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