| Comprehensive Therapy Centers, Llc | |
|
3602 E Sunset Rd Suite 100 Las Vegas NV 89120-7202 | |
| (702) 932-4308 | |
| (702) 837-8930 |
| Full Name | Comprehensive Therapy Centers, Llc |
|---|---|
| Speciality | Physical Therapist |
| Location | 3602 E Sunset Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Alex Delgado (OWNER) |
| Authorized Official Contact | 7029324308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Therapy Centers, Llc 3602 E Sunset Rd Suite 100 Las Vegas NV 89120-7202 Ph: (702) 932-4308 | Comprehensive Therapy Centers, Llc 3602 E Sunset Rd Suite 100 Las Vegas NV 89120-7202 Ph: (702) 932-4308 |
| NPI Number | 1699861666 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 02/11/2014 |
| Medicare PECOS PAC ID | 0345202834 |
|---|---|
| Medicare Enrollment ID | O20041027000885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699861666 | NPI | - | NPPES |
| 100506637 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Nevada) | Secondary |
| 106H00000X | Marriage & Family Therapist | (Nevada) | Secondary |
| 225100000X | Physical Therapist | 2000006-322 (Nevada) | Primary |
| Provider Name | Alejandro J Delgado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528065786 PECOS PAC ID: 9234047739 Enrollment ID: I20050512000496 |
| Provider Name | Trevor A Offenbacker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770582462 PECOS PAC ID: 0042120420 Enrollment ID: I20050707000390 |
| Provider Name | Henry A Banzon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396744082 PECOS PAC ID: 2062448731 Enrollment ID: I20050713001107 |
| Provider Name | Arthur D Mirasol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205087129 PECOS PAC ID: 8123189289 Enrollment ID: I20081208000265 |
| Provider Name | Andrea N Mulligan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801130653 PECOS PAC ID: 5395999445 Enrollment ID: I20130125000394 |
| Provider Name | Traci L Cassidy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508298043 PECOS PAC ID: 6002039286 Enrollment ID: I20140515000223 |
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