DR. JOHN KUDREYKO III (NPI# 1730691627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730691627 |
Entity Type | Individual |
Full Name | DR. JOHN KUDREYKO III |
Credential | PT,DPT,CSCS |
Practice Address |
4773 Caughlin Pkwy Ste 1 Reno NV 89519-1012 |
Mailing Address |
713 Americus Ave East Patchogue NY 11772-5001 |
Practice Telephone | 7754322870 |
Enumeration Date | 2017-10-31 |
Last Update Date | 2017-10-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
3614 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4773 CAUGHLIN PKWY STE 1 |
City | RENO |
State | NV |
Zip Code | 89519-1012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841483690 | Megan Madsen | Physical Therapist | 4773 Caughlin Pkwy Ste 1, Reno, NV 89519-1012 | 2007-08-24 |
1649814476 | Hayley Poland | Physical Therapist | 4773 Caughlin Pkwy Ste 1, Reno, NV 89519-1012 | 2019-11-05 |
1841640752 | Jennica Rasband Mcfarland | Physical Therapist | 4773 Caughlin Pkwy Ste 1, Reno, NV 89519-1012 | 2016-06-21 |
1952792624 | Justine Anderson | Physical Therapist | 4773 Caughlin Pkwy Ste 1, Reno, NV 89519-1012 | 2015-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912287 | Corazon Ilarina Ibarra | Preventive Medicine | 1495 Ridgeview Drive Suite 210, 1495 Ridgeview Drive Suite 210, Reno, NV 89519 | 2020-11-04 |
1073151411 | High Desert Endodontic Specialists | Dentist | 4104 Caughlin Square, 2, Reno, NV 89519 | 2019-12-17 |
1053840439 | David Mertz | Community Health Worker | 4773 Caughlin Parkway, Suite 2, Reno, NV 89519 | 2017-06-08 |
1649709072 | Sara Rumker | Community Health Worker | 4773 Caughlin Parkway Ste 2, Reno, NV 89519 | 2017-06-08 |
1437697406 | Jeanette Bradford | Counselor | 6008 Plumas Street Apt D, Reno, NV 89519 | 2017-02-09 |
1821549270 | Maple Star Nevada | Counselor | 4773 Caughlim Pkwy, Suite 2, Reno, NV 89519 | 2016-10-20 |
1366804296 | Susan Lisa Peacock | Speech-Language Pathologist | 4293 Cutting Horse Circle, Reno, NV 89519 | 2016-03-21 |
1548551518 | Jonathan Arnow | Specialist | 3301 Ponderosa Pine Court, Reno, NV 89519 | 2011-04-26 |
1407080757 | Stacey Edgington | Speech-Language Pathologist | 4210 Pinto Drive, Reno, NV 89519 | 2009-05-14 |
1376723213 | Lexey Shuron Parker | Obstetrics & Gynecology | 4005 Plateau Road, Reno, NV 89519 | 2007-11-08 |
Find all providers in zip 89519 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255956058 | Mollet Physical Therapy Pllc | Physical Therapist | 4100 Caughlin Pkwy, Reno, NV 89519-0608 | 2020-06-08 |
1427543081 | Physiospine Reno, LLC | Physical Therapist | 6880 S Mccarran Blvd Ste 13, Reno, NV 89509-6129 | 2018-06-26 |
1689184319 | Laura Lentz | Physical Therapist | 14430 Rancheros Dr, Reno, NV 89521-7319 | 2017-10-09 |
1669613402 | Carrie K Cameron | Physical Therapist | 100 W Liberty St, Suite 170, Reno, NV 89501-1962 | 2009-03-06 |
1295984854 | Lindsay Branzel | Physical Therapist | 3005 Skyline Blvd Ste 140, Reno, NV 89509 | 2008-09-18 |
1932383585 | Matthew Stephen Oravitz | Physical Therapist | 6100 Plumas St, Ste 201, Reno, NV 89519-6064 | 2007-12-18 |
1669599239 | Kirk J. Sachtler | Physical Therapist | 720 Robb Dr, Suite 103, Reno, NV 89523-2524 | 2007-03-26 |
1336191832 | Jessie Day Thomas | Physical Therapist | 679 Sierra Rose Dr, Suite A, Reno, NV 89511-2060 | 2006-05-16 |
1023517752 | Austin Webster | Physical Therapist | 16560 Wedge Pkwy, Reno, NV 89511-3318 | 2018-02-08 |
1245665298 | Jaydee Marie Vykoukal | Physical Therapist | 6630 S Mccarran Blvd, Ste A 4, Reno, NV 89509-6145 | 2013-09-10 |
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.