Healthcare Provider Details

I. General information

NPI: 1801336169
Provider Name (Legal Business Name): FIRST CHOICE PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2017
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2072 IDAHO ST
ELKO NV
89801-2627
US

IV. Provider business mailing address

248 COUNTRY CLUB PKWY
SPRING CREEK NV
89815
US

V. Phone/Fax

Practice location:
  • Phone: 775-777-1276
  • Fax:
Mailing address:
  • Phone: 775-777-1276
  • Fax: 775-777-7022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. SAMUEL L MOORE
Title or Position: SOLE MEMBER/DPT
Credential: DPT
Phone: 775-962-2047