Healthcare Provider Details

I. General information

NPI: 1972140150
Provider Name (Legal Business Name): NINA ROUTON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NINA VOGEL

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date: 09/28/2021
Reactivation Date: 06/28/2024

III. Provider practice location address

904 N NEVADA ST
CARSON CITY NV
89703-3934
US

IV. Provider business mailing address

904 N NEVADA ST
CARSON CITY NV
89703-3934
US

V. Phone/Fax

Practice location:
  • Phone: 714-296-3336
  • Fax:
Mailing address:
  • Phone: 714-296-3336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number3128
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: