MEDICARE: DR. MICHAEL ALAN SAVANAPRIDI PT, DPT, NREMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	6242	NV

General Provider Information

NPI Number	:	1447035464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ALAN SAVANAPRIDI PT, DPT, NREMT

Provider Business Mailing Address
First Line	:	681 ITALIAN ROAST CT
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4825
Country	:	US
Telephone Number	:	334-663-5332
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 W HORIZON RIDGE PKWY STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2707
Country	:	US
Telephone Number	:	702-458-1300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2023
Last Update Date	:	08/28/2023

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