- Medicare Physical Therapist in Las Vegas, NV

is a medicare enrolled "Physical Therapist" provider in Las Vegas, Nevada. Their current practice location is 7301 Peak Drive, Suite 150, Las Vegas, Nevada. You can reach out to their office (for appointments etc.) via phone at (702) 804-0026.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1396777892.

Contact Information

7301 Peak Drive, Suite 150,
Las Vegas, NV 89128-9037
(702) 804-0026
(702) 243-4769

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPhysical Therapist
Location7301 Peak Drive, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396777892
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 01/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274422647
  • Enrollment ID: O20040312001184

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396777892NPI-NPPES
100509577MedicaidNV
V36510OtherNVMEDICARE PTAN - GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary
225X00000XOccupational Therapist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJohn P Lyons
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659318749
PECOS PAC ID: 6608843362
Enrollment ID: I20040913000596
Provider NameCasey Marano
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1619949732
PECOS PAC ID: 2769470822
Enrollment ID: I20050301000792
Provider NameGlen P Thurman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699841049
PECOS PAC ID: 7517911217
Enrollment ID: I20050305000033
Provider NameCharlotte J Izatt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174773618
PECOS PAC ID: 7618910274
Enrollment ID: I20050603001018
Provider NameDouglas J Krasniewski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013954312
PECOS PAC ID: 9133151939
Enrollment ID: I20050831000997
Provider NameSuzanne K.m. Ocariza
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801919592
PECOS PAC ID: 5597780361
Enrollment ID: I20051011000412
Provider NameTina Lora Burke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851321459
PECOS PAC ID: 0143228239
Enrollment ID: I20061128000404
Provider NameNancy L Deviese
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336285253
PECOS PAC ID: 9638272966
Enrollment ID: I20070307000235
Provider NameDavid J Camp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356350334
PECOS PAC ID: 1557440005
Enrollment ID: I20080508000427
Provider NameThomas P Brooks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548276314
PECOS PAC ID: 1658266887
Enrollment ID: I20080508000516
Provider NameLuke C Gaughan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1164537221
PECOS PAC ID: 8224211586
Enrollment ID: I20110323000710
Provider NameJerome Harrison Beeler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780827584
PECOS PAC ID: 7517141112
Enrollment ID: I20110406000126
Provider NameMichael F Mckay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427344779
PECOS PAC ID: 2163692021
Enrollment ID: I20110901000056
Provider NameBenjamin D Buenaventura
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609168947
PECOS PAC ID: 2567636954
Enrollment ID: I20111121000817
Provider NameRueben F Cervantez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790817666
PECOS PAC ID: 8628231438
Enrollment ID: I20120515000102
Provider NameJared T Morasco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174800098
PECOS PAC ID: 2961679246
Enrollment ID: I20130219000242
Provider NameBrandon J Bishop
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740528892
PECOS PAC ID: 1951549823
Enrollment ID: I20130605000104
Provider NameVanessa Rachel Martin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801062740
PECOS PAC ID: 3375611106
Enrollment ID: I20140612002227
Provider NameBart D Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518397611
PECOS PAC ID: 1254555758
Enrollment ID: I20140623001954
Provider NameHeather Lynn Black Darby
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669603809
PECOS PAC ID: 2365577566
Enrollment ID: I20140909000921
Provider NameMatthew T Killian
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730226747
PECOS PAC ID: 1456571215
Enrollment ID: I20140930002117
Provider NameDaniella Morton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174938252
PECOS PAC ID: 2961726708
Enrollment ID: I20150127000026
Provider NameRhea M Agbayani
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740418391
PECOS PAC ID: 0648492520
Enrollment ID: I20150324001109
Provider NameLouise Trent
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780074781
PECOS PAC ID: 9638496698
Enrollment ID: I20150401000031
Provider NameNicholas C Hernaez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851781850
PECOS PAC ID: 2567780992
Enrollment ID: I20150416000046
Provider NameAlison A Hauck
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568855310
PECOS PAC ID: 0648598938
Enrollment ID: I20150416002347
Provider NameLee B Gunn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588057129
PECOS PAC ID: 0345561544
Enrollment ID: I20150529002146
Provider NameChristopher A Nelson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174935282
PECOS PAC ID: 8022329374
Enrollment ID: I20150612001835
Provider NameStephanie Barton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942682299
PECOS PAC ID: 6507171766
Enrollment ID: I20150817002273
Provider NameMaiesha Jackson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831523356
PECOS PAC ID: 6305069253
Enrollment ID: I20150928001133
Provider NameTaylor C Kucera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952770646
PECOS PAC ID: 0446568919
Enrollment ID: I20151002000024
Provider NameWilliam Buchanan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689042715
PECOS PAC ID: 6103134416
Enrollment ID: I20151007001111
Provider NameWyatt Banks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417000753
PECOS PAC ID: 4183931348
Enrollment ID: I20151019001264
Provider NameMelanie Laneo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760853287
PECOS PAC ID: 0749599587
Enrollment ID: I20151019001835
Provider NameJana Nobuko Tsuruda-chow
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1619358413
PECOS PAC ID: 2860701356
Enrollment ID: I20151023000911
Provider NameIvan Sanchez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063890812
PECOS PAC ID: 7810298536
Enrollment ID: I20151222000523
Provider NameKathryn D. Dewitt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639536931
PECOS PAC ID: 5991000903
Enrollment ID: I20160229000855
Provider NameAaron Thomas Mcdonald
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043677610
PECOS PAC ID: 0345547717
Enrollment ID: I20160330000763
Provider NameRhea Ann Casupang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467813949
PECOS PAC ID: 8123325206
Enrollment ID: I20160405001399
Provider NameSamuel M Cartwright
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982053377
PECOS PAC ID: 7618264235
Enrollment ID: I20160926002398
Provider NameChristina J David
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407304926
PECOS PAC ID: 1557659075
Enrollment ID: I20161014001791
Provider NamePriscilla Flores
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1427503853
PECOS PAC ID: 6709174048
Enrollment ID: I20161019001513
Provider NameDaniel Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265982771
PECOS PAC ID: 7012296189
Enrollment ID: I20161111001727
Provider NameMark Mina Rizkalla
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023554748
PECOS PAC ID: 9335423888
Enrollment ID: I20170228001341
Provider NameArnel Sulit
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003367830
PECOS PAC ID: 2264718444
Enrollment ID: I20170425001087
Provider NameCody R Church
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881138865
PECOS PAC ID: 3678850831
Enrollment ID: I20170426001302
Provider NameJesse Scheidecker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013301514
PECOS PAC ID: 6406167998
Enrollment ID: I20170510000556
Provider NameSarah Distad
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538608500
PECOS PAC ID: 3476823923
Enrollment ID: I20170717002478
Provider NameAnchal Bisen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942748082
PECOS PAC ID: 9537439807
Enrollment ID: I20170719000890
Provider NameGerald Domenic Dolce
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194248971
PECOS PAC ID: 4082985023
Enrollment ID: I20170809001175
Provider NameAshley E Moody
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1740708148
PECOS PAC ID: 0143594424
Enrollment ID: I20170926001068
Provider NameCynthia Allyn
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1265956569
PECOS PAC ID: 8628340239
Enrollment ID: I20170927001959
Provider NameJonah Larson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164962296
PECOS PAC ID: 5092090514
Enrollment ID: I20171016001870
Provider NameClay Matthew Lovro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063935500
PECOS PAC ID: 6507132495
Enrollment ID: I20171020000470
Provider NameJacquline Marisa La Plante
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245526821
PECOS PAC ID: 8022288877
Enrollment ID: I20171027002610
Provider NameMatthew Stephen Duvall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437666534
PECOS PAC ID: 0547520207
Enrollment ID: I20180129001881
Provider NameDallas Troy Reynolds
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821504721
PECOS PAC ID: 7719247964
Enrollment ID: I20180207001793
Provider NameJonathan Michael Wheeler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770086613
PECOS PAC ID: 2062775307
Enrollment ID: I20180418002588
Provider NameSharon Lynn Katzkunde
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639607849
PECOS PAC ID: 7315202496
Enrollment ID: I20180518001276
Provider NameChase Ryan Pruitt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760989511
PECOS PAC ID: 8224383682
Enrollment ID: I20180626002477
Provider NameTimothy Charleston
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912413436
PECOS PAC ID: 3072862630
Enrollment ID: I20180815003502
Provider NameMatthew Mazick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235616095
PECOS PAC ID: 2567712177
Enrollment ID: I20180831001182
Provider NameAshley R Delobel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891127767
PECOS PAC ID: 5294059879
Enrollment ID: I20181031001110
Provider NameTaylor Mazick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679067789
PECOS PAC ID: 5890048128
Enrollment ID: I20181102000300
Provider NameAshley M Grigor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427544949
PECOS PAC ID: 6608129937
Enrollment ID: I20181102000365
Provider NameKristilyn Kay Jeffries
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932681046
PECOS PAC ID: 9133472467
Enrollment ID: I20181102000425
Provider NameLeeya H Flanagan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1285131623
PECOS PAC ID: 1658635123
Enrollment ID: I20181123000139
Provider NameDylan Robert Coonradt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598258956
PECOS PAC ID: 8325384076
Enrollment ID: I20190116003752
Provider NameMorgan Marie Meese
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720559610
PECOS PAC ID: 3870831936
Enrollment ID: I20190214002447
Provider NameAdam Lee Mast
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295786531
PECOS PAC ID: 4486828647
Enrollment ID: I20190301000824
Provider NameShaun Brewer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629547609
PECOS PAC ID: 2860733128
Enrollment ID: I20190415001254
Provider NameVictor Carrasco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578914818
PECOS PAC ID: 5799077673
Enrollment ID: I20190605002229
Provider NameSarah Ellen Kisch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588122758
PECOS PAC ID: 6800120056
Enrollment ID: I20190622000378
Provider NameEmily M Derrera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891352175
PECOS PAC ID: 2062741523
Enrollment ID: I20190909001313
Provider NameBrandon Wade Godin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346805983
PECOS PAC ID: 8224368287
Enrollment ID: I20190918001633
Provider NameCarol L Orr
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134470669
PECOS PAC ID: 5991035743
Enrollment ID: I20190923000818
Provider NameTiffany Conway
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649754458
PECOS PAC ID: 8022353267
Enrollment ID: I20191008003659
Provider NameMila Milanova
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780230243
PECOS PAC ID: 8224369772
Enrollment ID: I20191014003078
Provider NameCody French
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508339862
PECOS PAC ID: 9234474107
Enrollment ID: I20191127002141
Provider NameAlison Carr Dibble
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710407994
PECOS PAC ID: 7618236639
Enrollment ID: I20191231002135
Provider NameNicholas Dibble
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831617695
PECOS PAC ID: 1557795341
Enrollment ID: I20200103000735
Provider NameAndrew Deon Biggers-herbert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417592353
PECOS PAC ID: 7416381199
Enrollment ID: I20200106001882
Provider NameCandance Latoya Watson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285918201
PECOS PAC ID: 3173958295
Enrollment ID: I20200120000821
Provider NameJon Alex Cruz Cantal
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437783263
PECOS PAC ID: 9335577899
Enrollment ID: I20200316001000
Provider NameDana L Moorer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891359089
PECOS PAC ID: 7012240690
Enrollment ID: I20200518001957
Provider NameMelvin Magsino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366076440
PECOS PAC ID: 4981025905
Enrollment ID: I20200529002505
Provider NameRichell Grace Valdez Sanez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417302787
PECOS PAC ID: 3779903430
Enrollment ID: I20201019001053
Provider NameBradley Nesbitt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235736000
PECOS PAC ID: 0547672875
Enrollment ID: I20201210001460
Provider NameShaena Mae Amram
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609264076
PECOS PAC ID: 8820401748
Enrollment ID: I20210113001302
Provider NameMichael Beebe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891790119
PECOS PAC ID: 2062307952
Enrollment ID: I20210218002683
Provider NameEric Kosco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831613983
PECOS PAC ID: 7416217138
Enrollment ID: I20210310002263
Provider NameWilliam M Dent
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649514704
PECOS PAC ID: 8628216843
Enrollment ID: I20210312002066
Provider NameKara M Kosco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841743572
PECOS PAC ID: 0648566489
Enrollment ID: I20210316001957
Provider NameChristine Jaojoco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881287654
PECOS PAC ID: 6305253279
Enrollment ID: I20210322002296
Provider NameJames Allen Isom
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629661665
PECOS PAC ID: 2567870223
Enrollment ID: I20210416002057
Provider NameAustin Ikpeama
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861096448
PECOS PAC ID: 9335558550
Enrollment ID: I20210429000682
Provider NameFaynella S Tiu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720248008
PECOS PAC ID: 3274942354
Enrollment ID: I20210503002049
Provider NameQun Choi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396329777
PECOS PAC ID: 8921417247
Enrollment ID: I20210517001605
Provider NameAnthony Bernard Clifton
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1043884455
PECOS PAC ID: 7911306782
Enrollment ID: I20210527000672
Provider NameJasmine N. Balen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639765282
PECOS PAC ID: 9638579832
Enrollment ID: I20210609002160
Provider NameJulia Randle
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1578635264
PECOS PAC ID: 6507266442
Enrollment ID: I20210614002628
Provider NameBryson Naito
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598438194
PECOS PAC ID: 6406250935
Enrollment ID: I20210805002548
Provider NameBarbara Brown
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285307637
PECOS PAC ID: 9537154257
Enrollment ID: I20210812001902
Provider NameCatherine Mary Gallogly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790275998
PECOS PAC ID: 0648525204
Enrollment ID: I20210818000187
Provider NameKarnova Mutia Colinares
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407139207
PECOS PAC ID: 7214184530
Enrollment ID: I20210827002670
Provider NameMichelle Flage
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659973113
PECOS PAC ID: 1254742174
Enrollment ID: I20210908003629
Provider NameDenise Torres
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851060776
PECOS PAC ID: 4587061494
Enrollment ID: I20210920003018
Provider NameLuke Devries
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1992943047
PECOS PAC ID: 0547452153
Enrollment ID: I20210924002488
Provider NameJoyce Berger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356673354
PECOS PAC ID: 2860803491
Enrollment ID: I20211026003295
Provider NameLucretia Duran
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104580737
PECOS PAC ID: 8820487267
Enrollment ID: I20211105000844
Provider NameEmad Sanuos
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205310885
PECOS PAC ID: 9537407713
Enrollment ID: I20211207000634
Provider NameLindsay Virginia Weiler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346538261
PECOS PAC ID: 4789857087
Enrollment ID: I20211213001295
Provider NameAdam Fujita
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194050641
PECOS PAC ID: 6406998707
Enrollment ID: I20211220001656
Provider NameMark Bittinger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790178341
PECOS PAC ID: 5193044022
Enrollment ID: I20211228000386
Provider NameKevin Bohl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275292005
PECOS PAC ID: 1254723976
Enrollment ID: I20220110000294
Provider NameConnie Pirkle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871825992
PECOS PAC ID: 0840325809
Enrollment ID: I20220114002083
Provider NameCamille Hunt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316483464
PECOS PAC ID: 0547544181
Enrollment ID: I20220124001811
Provider NameJuan Leija
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023537107
PECOS PAC ID: 9638444813
Enrollment ID: I20220203001938
Provider NameEric Vial
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003806597
PECOS PAC ID: 6709900178
Enrollment ID: I20220401001246
Provider NameFrancesca Fell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174101182
PECOS PAC ID: 0244632032
Enrollment ID: I20220418001417
Provider NameJulia Balash
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306592126
PECOS PAC ID: 8628465481
Enrollment ID: I20220425002265
Provider NameChaya S Green
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467803221
PECOS PAC ID: 9133414170
Enrollment ID: I20220427000174
Provider NameDaniel J Krist
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417573528
PECOS PAC ID: 9133542780
Enrollment ID: I20220519000685
Provider NameRebecca Joseph
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740882257
PECOS PAC ID: 6901217157
Enrollment ID: I20220523000412
Provider NameKarli Jo Macias
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396475281
PECOS PAC ID: 3072993492
Enrollment ID: I20220701001420
Provider NameLetecia Lalaine Cubero
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467183400
PECOS PAC ID: 1355366444
Enrollment ID: I20220712003242
Provider NameMandy Ye
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790361103
PECOS PAC ID: 6901213537
Enrollment ID: I20220714002034
Provider NameMonica Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740606185
PECOS PAC ID: 6608091301
Enrollment ID: I20220715002174
Provider NameDenice Paraiso
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033786165
PECOS PAC ID: 6103208780
Enrollment ID: I20220728002291
Provider NameDawn Waugh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679688998
PECOS PAC ID: 7416031380
Enrollment ID: I20220914002646
Provider NameVincent De Luna
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154649309
PECOS PAC ID: 7719362342
Enrollment ID: I20220919002395
Provider NameJanel Blair
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942974795
PECOS PAC ID: 6709283955
Enrollment ID: I20220927000897
Provider NameKatherine Suarez
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1609598440
PECOS PAC ID: 4688050008
Enrollment ID: I20221007000822
Provider NameRobert Felber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982186904
PECOS PAC ID: 2062765183
Enrollment ID: I20221010000688
Provider NameWilliam J Ingerly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073955431
PECOS PAC ID: 5799025664
Enrollment ID: I20221027003138
Provider NameMelissa Guanga
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447850318
PECOS PAC ID: 3870903875
Enrollment ID: I20221103001837
Provider NameJacob Ryan Walker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699382515
PECOS PAC ID: 8820487622
Enrollment ID: I20221104000789
Provider NameChace Smartt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114640372
PECOS PAC ID: 3173990025
Enrollment ID: I20221104001863
Provider NameKaren Creech
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942586045
PECOS PAC ID: 7012174295
Enrollment ID: I20221109003273
Provider NameAlan Huang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952702789
PECOS PAC ID: 8426270745
Enrollment ID: I20221111000579
Provider NameBrigette Mary Mcconnell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578152310
PECOS PAC ID: 8527472406
Enrollment ID: I20221115001102
Provider NameRyan Lapaz Bacani
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023771524
PECOS PAC ID: 2264800895
Enrollment ID: I20221201001699
Provider NameKevin Strehler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487161089
PECOS PAC ID: 7315206984
Enrollment ID: I20221206000866
Provider NameMatthew Wisehart
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063861060
PECOS PAC ID: 2062794688
Enrollment ID: I20221206003222
Provider NameEmily Haw
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215578786
PECOS PAC ID: 6507271947
Enrollment ID: I20221219001109
Provider NameLouie Anton Ang Entienza
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104382290
PECOS PAC ID: 8224408604
Enrollment ID: I20221229000428
Provider NameCintia Cristine Ely Silva Benner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538307723
PECOS PAC ID: 0345398616
Enrollment ID: I20221230001133
Provider NameKara Marie Jolley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982746715
PECOS PAC ID: 0749201945
Enrollment ID: I20230111001858
Provider NameHeather L Monaghan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518458827
PECOS PAC ID: 9234482951
Enrollment ID: I20230127002190
Provider NameChristine Escoltos
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801199716
PECOS PAC ID: 2668655002
Enrollment ID: I20230202003113
Provider NameAlexander J Maszak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043899693
PECOS PAC ID: 1456750512
Enrollment ID: I20230217002534
Provider NameChristian Evans
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942920178
PECOS PAC ID: 0244603074
Enrollment ID: I20230227001370
Provider NameTravis James Gibson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871202572
PECOS PAC ID: 4082087341
Enrollment ID: I20230307002148
Provider NameMonica Bekkerman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275261398
PECOS PAC ID: 8527442912
Enrollment ID: I20230314002706
Provider NameHeman Ezra
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689000572
PECOS PAC ID: 8921235623
Enrollment ID: I20230526001392
Provider NameCherie Oclair
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518651769
PECOS PAC ID: 4587022504
Enrollment ID: I20230623002112
Provider NameWalter Nufable
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669142923
PECOS PAC ID: 6406247972
Enrollment ID: I20230711002849
Provider NameKinsey Chavez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043747033
PECOS PAC ID: 8527301225
Enrollment ID: I20230727002675
Provider NamePaolo Castro
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1780469734
PECOS PAC ID: 7618331687
Enrollment ID: I20230908001486
Provider NameRalph Marion Guingon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871153742
PECOS PAC ID: 4688901705
Enrollment ID: I20230918003757
Provider NameKaitlyn Ashley Hoffman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1063988764
PECOS PAC ID: 6406200575
Enrollment ID: I20230922001187
Provider NameJulie Sult
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821663741
PECOS PAC ID: 3779985767
Enrollment ID: I20231006000801
Provider NameCarter Jay Rubin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083313274
PECOS PAC ID: 4082088539
Enrollment ID: I20231020001550
Provider NameJesse Brunner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225538309
PECOS PAC ID: 5799047700
Enrollment ID: I20231026003348
Provider NameBenjamin Robert Langford
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336920370
PECOS PAC ID: 9638525579
Enrollment ID: I20231027002553
Provider NameMonique Nicole Lawson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407634348
PECOS PAC ID: 0648626440
Enrollment ID: I20231031002102
Provider NameHannah Grandell
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1407592702
PECOS PAC ID: 1254706161
Enrollment ID: I20231102002692
Provider NameChristine Angeli Jison Cornel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730873894
PECOS PAC ID: 0143677724
Enrollment ID: I20231103003425
Provider NameGeetha Madhuri Chintamaneni
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407263940
PECOS PAC ID: 8022441682
Enrollment ID: I20231107002273
Provider NameErin Healy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063865228
PECOS PAC ID: 8022481589
Enrollment ID: I20240104002763
Provider NameTyler Holland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528712114
PECOS PAC ID: 6204202393
Enrollment ID: I20240110003718
Provider NameJoel Clutton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760063713
PECOS PAC ID: 0042668527
Enrollment ID: I20240215003628
Provider NameAnngie May Axalan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669968012
PECOS PAC ID: 6507201340
Enrollment ID: I20240301003483
Provider NameKimberly Yancey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619239746
PECOS PAC ID: 9234561119
Enrollment ID: I20240311003733
Provider NameMichael Stewart
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518336726
PECOS PAC ID: 0749635522
Enrollment ID: I20240411003181
Provider NameSamiksha Tawade
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437873718
PECOS PAC ID: 8921477860
Enrollment ID: I20240417003942
Provider NameBlake Golden
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790537306
PECOS PAC ID: 1052750189
Enrollment ID: I20240422002137
Provider NameMarielle Bertram
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922546902
PECOS PAC ID: 0547546228
Enrollment ID: I20240703001156
Provider NameVrushali Desai
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285213256
PECOS PAC ID: 2668864851
Enrollment ID: I20240730002799
Provider NameKelsey Downing Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457887598
PECOS PAC ID: 5395090096
Enrollment ID: I20240730003639
Provider NameChristelle Macachor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003555699
PECOS PAC ID: 2163953159
Enrollment ID: I20241001003333
Provider NameAsia Suriyachottakul
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1689494023
PECOS PAC ID: 4587197868
Enrollment ID: I20241024002802
Provider NameKelsey Vostad
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114749108
PECOS PAC ID: 7810421112
Enrollment ID: I20241108002403
Provider NameAmanda Roo Howar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801467568
PECOS PAC ID: 7214330976
Enrollment ID: I20241118000165
Provider NameRebecca Graham
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841500147
PECOS PAC ID: 9234350927
Enrollment ID: I20241203001462

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

790 Remington Blvd,
Bolingbrook, IL 60440-4909

Ph: (630) 296-2222

7301 Peak Drive, Suite 150,
Las Vegas, NV 89128-9037

Ph: (702) 804-0026

Reviews and Comments


Physical Therapist in Las Vegas, NV


Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 8333 S Eastern Ave, Las Vegas, NV 89123
Phone: 702-263-3802    Fax: 702-270-7740
Ceferino Villafuerte, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2029 Winter Wind St, Las Vegas, NV 89134
Phone: 702-869-6714    
Kelsey Zane Daniels, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 6345 S Jones Blvd Ste 300, Las Vegas, NV 89118
Phone: 702-515-4009    
Dr. Erin Longhurst, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2650 N Tenaya Way, Suite 180, Las Vegas, NV 89128
Phone: 702-240-2952    
Mr. Gladstone George, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2832 S Maryland Pkwy, Las Vegas, NV 89109
Phone: 702-735-5848    Fax: 702-735-6218

Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6830 W Oquendo Rd, Suite 101, Las Vegas, NV 89118
Phone: 702-258-3066    
Chanha Hwang, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8174 Las Vegas Blvd S Ste 109-150, Las Vegas, NV 89123
Phone: 702-883-9528    Fax: 702-852-5715

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.