Provider Demographics
NPI:1497985048
Name:PINION REHABILITATION, LLC
Entity Type:Organization
Organization Name:PINION REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:WALDRON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MSPT
Authorized Official - Phone:775-738-4494
Mailing Address - Street 1:1775 BROWNING WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8340
Mailing Address - Country:US
Mailing Address - Phone:775-738-4494
Mailing Address - Fax:775-777-3192
Practice Address - Street 1:1775 BROWNING WAY STE 203
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8340
Practice Address - Country:US
Practice Address - Phone:775-738-4494
Practice Address - Fax:775-777-3192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1794225100000X
NV2233225100000X
NV0693225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1609838879OtherNPI
NV1992765960OtherNPI
NV1346478914OtherNPI