Provider Demographics
NPI:1972140150
Name:ROUTON, NINA (PT, DPT)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:ROUTON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:
Other - Last Name:VOGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3521 SMOKETREE AVE
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89705-8011
Mailing Address - Country:US
Mailing Address - Phone:714-296-3336
Mailing Address - Fax:
Practice Address - Street 1:10389 DOUBLE R BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5991
Practice Address - Country:US
Practice Address - Phone:714-296-3336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-05
Last Update Date:2024-07-03
Deactivation Date:2021-09-28
Deactivation Code:
Reactivation Date:2024-06-28
Provider Licenses
StateLicense IDTaxonomies
NV31282251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic