Provider Demographics
NPI:1306594932
Name:VALLEY REHAB OF NEVADA
Entity type:Organization
Organization Name:VALLEY REHAB OF NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVILBISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-209-0235
Mailing Address - Street 1:208 MONTEVERDE CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-7915
Mailing Address - Country:US
Mailing Address - Phone:916-209-0235
Mailing Address - Fax:
Practice Address - Street 1:10350 N MCCARRAN BLVD
Practice Address - Street 2:#1035
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503
Practice Address - Country:US
Practice Address - Phone:916-209-0235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty