| |
7301 Peak Drive, Suite 150, Las Vegas, NV 89128-9037 | |
(702) 804-0026 | |
(702) 243-4769 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 7301 Peak Drive, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396777892 | NPI | - | NPPES |
100509577 | Medicaid | NV | |
V36510 | Other | NV | MEDICARE PTAN - GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Provider Name | John P Lyons |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659318749 PECOS PAC ID: 6608843362 Enrollment ID: I20040913000596 |
Provider Name | Casey Marano |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619949732 PECOS PAC ID: 2769470822 Enrollment ID: I20050301000792 |
Provider Name | Glen P Thurman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699841049 PECOS PAC ID: 7517911217 Enrollment ID: I20050305000033 |
Provider Name | Charlotte J Izatt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174773618 PECOS PAC ID: 7618910274 Enrollment ID: I20050603001018 |
Provider Name | Douglas J Krasniewski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013954312 PECOS PAC ID: 9133151939 Enrollment ID: I20050831000997 |
Provider Name | Suzanne K.m. Ocariza |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801919592 PECOS PAC ID: 5597780361 Enrollment ID: I20051011000412 |
Provider Name | Tina Lora Burke |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851321459 PECOS PAC ID: 0143228239 Enrollment ID: I20061128000404 |
Provider Name | Nancy L Deviese |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336285253 PECOS PAC ID: 9638272966 Enrollment ID: I20070307000235 |
Provider Name | David J Camp |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356350334 PECOS PAC ID: 1557440005 Enrollment ID: I20080508000427 |
Provider Name | Thomas P Brooks |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548276314 PECOS PAC ID: 1658266887 Enrollment ID: I20080508000516 |
Provider Name | Luke C Gaughan |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164537221 PECOS PAC ID: 8224211586 Enrollment ID: I20110323000710 |
Provider Name | Jerome Harrison Beeler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780827584 PECOS PAC ID: 7517141112 Enrollment ID: I20110406000126 |
Provider Name | Michael F Mckay |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427344779 PECOS PAC ID: 2163692021 Enrollment ID: I20110901000056 |
Provider Name | Benjamin D Buenaventura |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609168947 PECOS PAC ID: 2567636954 Enrollment ID: I20111121000817 |
Provider Name | Rueben F Cervantez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790817666 PECOS PAC ID: 8628231438 Enrollment ID: I20120515000102 |
Provider Name | Jared T Morasco |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174800098 PECOS PAC ID: 2961679246 Enrollment ID: I20130219000242 |
Provider Name | Brandon J Bishop |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740528892 PECOS PAC ID: 1951549823 Enrollment ID: I20130605000104 |
Provider Name | Vanessa Rachel Martin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801062740 PECOS PAC ID: 3375611106 Enrollment ID: I20140612002227 |
Provider Name | Bart D Taylor |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518397611 PECOS PAC ID: 1254555758 Enrollment ID: I20140623001954 |
Provider Name | Heather Lynn Black Darby |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669603809 PECOS PAC ID: 2365577566 Enrollment ID: I20140909000921 |
Provider Name | Matthew T Killian |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730226747 PECOS PAC ID: 1456571215 Enrollment ID: I20140930002117 |
Provider Name | Daniella Morton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174938252 PECOS PAC ID: 2961726708 Enrollment ID: I20150127000026 |
Provider Name | Rhea M Agbayani |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740418391 PECOS PAC ID: 0648492520 Enrollment ID: I20150324001109 |
Provider Name | Louise Trent |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780074781 PECOS PAC ID: 9638496698 Enrollment ID: I20150401000031 |
Provider Name | Nicholas C Hernaez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851781850 PECOS PAC ID: 2567780992 Enrollment ID: I20150416000046 |
Provider Name | Alison A Hauck |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568855310 PECOS PAC ID: 0648598938 Enrollment ID: I20150416002347 |
Provider Name | Lee B Gunn |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588057129 PECOS PAC ID: 0345561544 Enrollment ID: I20150529002146 |
Provider Name | Christopher A Nelson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174935282 PECOS PAC ID: 8022329374 Enrollment ID: I20150612001835 |
Provider Name | Stephanie Barton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942682299 PECOS PAC ID: 6507171766 Enrollment ID: I20150817002273 |
Provider Name | Maiesha Jackson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831523356 PECOS PAC ID: 6305069253 Enrollment ID: I20150928001133 |
Provider Name | Taylor C Kucera |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952770646 PECOS PAC ID: 0446568919 Enrollment ID: I20151002000024 |
Provider Name | William Buchanan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689042715 PECOS PAC ID: 6103134416 Enrollment ID: I20151007001111 |
Provider Name | Wyatt Banks |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417000753 PECOS PAC ID: 4183931348 Enrollment ID: I20151019001264 |
Provider Name | Melanie Laneo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760853287 PECOS PAC ID: 0749599587 Enrollment ID: I20151019001835 |
Provider Name | Jana Nobuko Tsuruda-chow |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619358413 PECOS PAC ID: 2860701356 Enrollment ID: I20151023000911 |
Provider Name | Ivan Sanchez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063890812 PECOS PAC ID: 7810298536 Enrollment ID: I20151222000523 |
Provider Name | Kathryn D. Dewitt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639536931 PECOS PAC ID: 5991000903 Enrollment ID: I20160229000855 |
Provider Name | Aaron Thomas Mcdonald |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043677610 PECOS PAC ID: 0345547717 Enrollment ID: I20160330000763 |
Provider Name | Rhea Ann Casupang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467813949 PECOS PAC ID: 8123325206 Enrollment ID: I20160405001399 |
Provider Name | Samuel M Cartwright |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982053377 PECOS PAC ID: 7618264235 Enrollment ID: I20160926002398 |
Provider Name | Christina J David |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407304926 PECOS PAC ID: 1557659075 Enrollment ID: I20161014001791 |
Provider Name | Priscilla Flores |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427503853 PECOS PAC ID: 6709174048 Enrollment ID: I20161019001513 |
Provider Name | Daniel Johnson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265982771 PECOS PAC ID: 7012296189 Enrollment ID: I20161111001727 |
Provider Name | Mark Mina Rizkalla |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023554748 PECOS PAC ID: 9335423888 Enrollment ID: I20170228001341 |
Provider Name | Arnel Sulit |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003367830 PECOS PAC ID: 2264718444 Enrollment ID: I20170425001087 |
Provider Name | Cody R Church |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881138865 PECOS PAC ID: 3678850831 Enrollment ID: I20170426001302 |
Provider Name | Jesse Scheidecker |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013301514 PECOS PAC ID: 6406167998 Enrollment ID: I20170510000556 |
Provider Name | Sarah Distad |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538608500 PECOS PAC ID: 3476823923 Enrollment ID: I20170717002478 |
Provider Name | Anchal Bisen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942748082 PECOS PAC ID: 9537439807 Enrollment ID: I20170719000890 |
Provider Name | Gerald Domenic Dolce |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194248971 PECOS PAC ID: 4082985023 Enrollment ID: I20170809001175 |
Provider Name | Ashley E Moody |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740708148 PECOS PAC ID: 0143594424 Enrollment ID: I20170926001068 |
Provider Name | Cynthia Allyn |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265956569 PECOS PAC ID: 8628340239 Enrollment ID: I20170927001959 |
Provider Name | Jonah Larson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164962296 PECOS PAC ID: 5092090514 Enrollment ID: I20171016001870 |
Provider Name | Clay Matthew Lovro |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063935500 PECOS PAC ID: 6507132495 Enrollment ID: I20171020000470 |
Provider Name | Jacquline Marisa La Plante |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245526821 PECOS PAC ID: 8022288877 Enrollment ID: I20171027002610 |
Provider Name | Matthew Stephen Duvall |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437666534 PECOS PAC ID: 0547520207 Enrollment ID: I20180129001881 |
Provider Name | Dallas Troy Reynolds |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821504721 PECOS PAC ID: 7719247964 Enrollment ID: I20180207001793 |
Provider Name | Jonathan Michael Wheeler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770086613 PECOS PAC ID: 2062775307 Enrollment ID: I20180418002588 |
Provider Name | Sharon Lynn Katzkunde |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639607849 PECOS PAC ID: 7315202496 Enrollment ID: I20180518001276 |
Provider Name | Chase Ryan Pruitt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760989511 PECOS PAC ID: 8224383682 Enrollment ID: I20180626002477 |
Provider Name | Timothy Charleston |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912413436 PECOS PAC ID: 3072862630 Enrollment ID: I20180815003502 |
Provider Name | Matthew Mazick |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235616095 PECOS PAC ID: 2567712177 Enrollment ID: I20180831001182 |
Provider Name | Ashley R Delobel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891127767 PECOS PAC ID: 5294059879 Enrollment ID: I20181031001110 |
Provider Name | Taylor Mazick |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679067789 PECOS PAC ID: 5890048128 Enrollment ID: I20181102000300 |
Provider Name | Ashley M Grigor |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427544949 PECOS PAC ID: 6608129937 Enrollment ID: I20181102000365 |
Provider Name | Kristilyn Kay Jeffries |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932681046 PECOS PAC ID: 9133472467 Enrollment ID: I20181102000425 |
Provider Name | Leeya H Flanagan |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285131623 PECOS PAC ID: 1658635123 Enrollment ID: I20181123000139 |
Provider Name | Dylan Robert Coonradt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598258956 PECOS PAC ID: 8325384076 Enrollment ID: I20190116003752 |
Provider Name | Morgan Marie Meese |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720559610 PECOS PAC ID: 3870831936 Enrollment ID: I20190214002447 |
Provider Name | Adam Lee Mast |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295786531 PECOS PAC ID: 4486828647 Enrollment ID: I20190301000824 |
Provider Name | Shaun Brewer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629547609 PECOS PAC ID: 2860733128 Enrollment ID: I20190415001254 |
Provider Name | Victor Carrasco |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578914818 PECOS PAC ID: 5799077673 Enrollment ID: I20190605002229 |
Provider Name | Sarah Ellen Kisch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588122758 PECOS PAC ID: 6800120056 Enrollment ID: I20190622000378 |
Provider Name | Emily M Derrera |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891352175 PECOS PAC ID: 2062741523 Enrollment ID: I20190909001313 |
Provider Name | Brandon Wade Godin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346805983 PECOS PAC ID: 8224368287 Enrollment ID: I20190918001633 |
Provider Name | Carol L Orr |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134470669 PECOS PAC ID: 5991035743 Enrollment ID: I20190923000818 |
Provider Name | Tiffany Conway |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649754458 PECOS PAC ID: 8022353267 Enrollment ID: I20191008003659 |
Provider Name | Mila Milanova |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780230243 PECOS PAC ID: 8224369772 Enrollment ID: I20191014003078 |
Provider Name | Cody French |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508339862 PECOS PAC ID: 9234474107 Enrollment ID: I20191127002141 |
Provider Name | Alison Carr Dibble |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710407994 PECOS PAC ID: 7618236639 Enrollment ID: I20191231002135 |
Provider Name | Nicholas Dibble |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831617695 PECOS PAC ID: 1557795341 Enrollment ID: I20200103000735 |
Provider Name | Andrew Deon Biggers-herbert |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417592353 PECOS PAC ID: 7416381199 Enrollment ID: I20200106001882 |
Provider Name | Candance Latoya Watson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285918201 PECOS PAC ID: 3173958295 Enrollment ID: I20200120000821 |
Provider Name | Jon Alex Cruz Cantal |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437783263 PECOS PAC ID: 9335577899 Enrollment ID: I20200316001000 |
Provider Name | Dana L Moorer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891359089 PECOS PAC ID: 7012240690 Enrollment ID: I20200518001957 |
Provider Name | Melvin Magsino |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366076440 PECOS PAC ID: 4981025905 Enrollment ID: I20200529002505 |
Provider Name | Richell Grace Valdez Sanez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417302787 PECOS PAC ID: 3779903430 Enrollment ID: I20201019001053 |
Provider Name | Bradley Nesbitt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235736000 PECOS PAC ID: 0547672875 Enrollment ID: I20201210001460 |
Provider Name | Shaena Mae Amram |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609264076 PECOS PAC ID: 8820401748 Enrollment ID: I20210113001302 |
Provider Name | Michael Beebe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891790119 PECOS PAC ID: 2062307952 Enrollment ID: I20210218002683 |
Provider Name | Eric Kosco |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831613983 PECOS PAC ID: 7416217138 Enrollment ID: I20210310002263 |
Provider Name | William M Dent |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649514704 PECOS PAC ID: 8628216843 Enrollment ID: I20210312002066 |
Provider Name | Kara M Kosco |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841743572 PECOS PAC ID: 0648566489 Enrollment ID: I20210316001957 |
Provider Name | Christine Jaojoco |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881287654 PECOS PAC ID: 6305253279 Enrollment ID: I20210322002296 |
Provider Name | James Allen Isom |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629661665 PECOS PAC ID: 2567870223 Enrollment ID: I20210416002057 |
Provider Name | Austin Ikpeama |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861096448 PECOS PAC ID: 9335558550 Enrollment ID: I20210429000682 |
Provider Name | Faynella S Tiu |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720248008 PECOS PAC ID: 3274942354 Enrollment ID: I20210503002049 |
Provider Name | Qun Choi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396329777 PECOS PAC ID: 8921417247 Enrollment ID: I20210517001605 |
Provider Name | Anthony Bernard Clifton |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043884455 PECOS PAC ID: 7911306782 Enrollment ID: I20210527000672 |
Provider Name | Jasmine N. Balen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639765282 PECOS PAC ID: 9638579832 Enrollment ID: I20210609002160 |
Provider Name | Julia Randle |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578635264 PECOS PAC ID: 6507266442 Enrollment ID: I20210614002628 |
Provider Name | Bryson Naito |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598438194 PECOS PAC ID: 6406250935 Enrollment ID: I20210805002548 |
Provider Name | Barbara Brown |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285307637 PECOS PAC ID: 9537154257 Enrollment ID: I20210812001902 |
Provider Name | Catherine Mary Gallogly |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790275998 PECOS PAC ID: 0648525204 Enrollment ID: I20210818000187 |
Provider Name | Karnova Mutia Colinares |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407139207 PECOS PAC ID: 7214184530 Enrollment ID: I20210827002670 |
Provider Name | Michelle Flage |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659973113 PECOS PAC ID: 1254742174 Enrollment ID: I20210908003629 |
Provider Name | Denise Torres |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851060776 PECOS PAC ID: 4587061494 Enrollment ID: I20210920003018 |
Provider Name | Luke Devries |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992943047 PECOS PAC ID: 0547452153 Enrollment ID: I20210924002488 |
Provider Name | Joyce Berger |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356673354 PECOS PAC ID: 2860803491 Enrollment ID: I20211026003295 |
Provider Name | Lucretia Duran |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104580737 PECOS PAC ID: 8820487267 Enrollment ID: I20211105000844 |
Provider Name | Emad Sanuos |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205310885 PECOS PAC ID: 9537407713 Enrollment ID: I20211207000634 |
Provider Name | Lindsay Virginia Weiler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346538261 PECOS PAC ID: 4789857087 Enrollment ID: I20211213001295 |
Provider Name | Adam Fujita |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194050641 PECOS PAC ID: 6406998707 Enrollment ID: I20211220001656 |
Provider Name | Mark Bittinger |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790178341 PECOS PAC ID: 5193044022 Enrollment ID: I20211228000386 |
Provider Name | Kevin Bohl |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275292005 PECOS PAC ID: 1254723976 Enrollment ID: I20220110000294 |
Provider Name | Connie Pirkle |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871825992 PECOS PAC ID: 0840325809 Enrollment ID: I20220114002083 |
Provider Name | Camille Hunt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316483464 PECOS PAC ID: 0547544181 Enrollment ID: I20220124001811 |
Provider Name | Juan Leija |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023537107 PECOS PAC ID: 9638444813 Enrollment ID: I20220203001938 |
Provider Name | Eric Vial |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003806597 PECOS PAC ID: 6709900178 Enrollment ID: I20220401001246 |
Provider Name | Francesca Fell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174101182 PECOS PAC ID: 0244632032 Enrollment ID: I20220418001417 |
Provider Name | Julia Balash |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306592126 PECOS PAC ID: 8628465481 Enrollment ID: I20220425002265 |
Provider Name | Chaya S Green |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467803221 PECOS PAC ID: 9133414170 Enrollment ID: I20220427000174 |
Provider Name | Daniel J Krist |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417573528 PECOS PAC ID: 9133542780 Enrollment ID: I20220519000685 |
Provider Name | Rebecca Joseph |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740882257 PECOS PAC ID: 6901217157 Enrollment ID: I20220523000412 |
Provider Name | Karli Jo Macias |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396475281 PECOS PAC ID: 3072993492 Enrollment ID: I20220701001420 |
Provider Name | Letecia Lalaine Cubero |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467183400 PECOS PAC ID: 1355366444 Enrollment ID: I20220712003242 |
Provider Name | Mandy Ye |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790361103 PECOS PAC ID: 6901213537 Enrollment ID: I20220714002034 |
Provider Name | Monica Smith |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740606185 PECOS PAC ID: 6608091301 Enrollment ID: I20220715002174 |
Provider Name | Denice Paraiso |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033786165 PECOS PAC ID: 6103208780 Enrollment ID: I20220728002291 |
Provider Name | Dawn Waugh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679688998 PECOS PAC ID: 7416031380 Enrollment ID: I20220914002646 |
Provider Name | Vincent De Luna |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154649309 PECOS PAC ID: 7719362342 Enrollment ID: I20220919002395 |
Provider Name | Janel Blair |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942974795 PECOS PAC ID: 6709283955 Enrollment ID: I20220927000897 |
Provider Name | Katherine Suarez |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609598440 PECOS PAC ID: 4688050008 Enrollment ID: I20221007000822 |
Provider Name | Robert Felber |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982186904 PECOS PAC ID: 2062765183 Enrollment ID: I20221010000688 |
Provider Name | William J Ingerly |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073955431 PECOS PAC ID: 5799025664 Enrollment ID: I20221027003138 |
Provider Name | Melissa Guanga |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447850318 PECOS PAC ID: 3870903875 Enrollment ID: I20221103001837 |
Provider Name | Jacob Ryan Walker |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699382515 PECOS PAC ID: 8820487622 Enrollment ID: I20221104000789 |
Provider Name | Chace Smartt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114640372 PECOS PAC ID: 3173990025 Enrollment ID: I20221104001863 |
Provider Name | Karen Creech |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942586045 PECOS PAC ID: 7012174295 Enrollment ID: I20221109003273 |
Provider Name | Alan Huang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952702789 PECOS PAC ID: 8426270745 Enrollment ID: I20221111000579 |
Provider Name | Brigette Mary Mcconnell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578152310 PECOS PAC ID: 8527472406 Enrollment ID: I20221115001102 |
Provider Name | Ryan Lapaz Bacani |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023771524 PECOS PAC ID: 2264800895 Enrollment ID: I20221201001699 |
Provider Name | Kevin Strehler |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487161089 PECOS PAC ID: 7315206984 Enrollment ID: I20221206000866 |
Provider Name | Matthew Wisehart |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063861060 PECOS PAC ID: 2062794688 Enrollment ID: I20221206003222 |
Provider Name | Emily Haw |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215578786 PECOS PAC ID: 6507271947 Enrollment ID: I20221219001109 |
Provider Name | Louie Anton Ang Entienza |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104382290 PECOS PAC ID: 8224408604 Enrollment ID: I20221229000428 |
Provider Name | Cintia Cristine Ely Silva Benner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538307723 PECOS PAC ID: 0345398616 Enrollment ID: I20221230001133 |
Provider Name | Kara Marie Jolley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982746715 PECOS PAC ID: 0749201945 Enrollment ID: I20230111001858 |
Provider Name | Heather L Monaghan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518458827 PECOS PAC ID: 9234482951 Enrollment ID: I20230127002190 |
Provider Name | Christine Escoltos |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801199716 PECOS PAC ID: 2668655002 Enrollment ID: I20230202003113 |
Provider Name | Alexander J Maszak |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043899693 PECOS PAC ID: 1456750512 Enrollment ID: I20230217002534 |
Provider Name | Christian Evans |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942920178 PECOS PAC ID: 0244603074 Enrollment ID: I20230227001370 |
Provider Name | Travis James Gibson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871202572 PECOS PAC ID: 4082087341 Enrollment ID: I20230307002148 |
Provider Name | Monica Bekkerman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275261398 PECOS PAC ID: 8527442912 Enrollment ID: I20230314002706 |
Provider Name | Heman Ezra |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689000572 PECOS PAC ID: 8921235623 Enrollment ID: I20230526001392 |
Provider Name | Cherie Oclair |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518651769 PECOS PAC ID: 4587022504 Enrollment ID: I20230623002112 |
Provider Name | Walter Nufable |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669142923 PECOS PAC ID: 6406247972 Enrollment ID: I20230711002849 |
Provider Name | Kinsey Chavez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043747033 PECOS PAC ID: 8527301225 Enrollment ID: I20230727002675 |
Provider Name | Paolo Castro |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780469734 PECOS PAC ID: 7618331687 Enrollment ID: I20230908001486 |
Provider Name | Ralph Marion Guingon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871153742 PECOS PAC ID: 4688901705 Enrollment ID: I20230918003757 |
Provider Name | Kaitlyn Ashley Hoffman |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063988764 PECOS PAC ID: 6406200575 Enrollment ID: I20230922001187 |
Provider Name | Julie Sult |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821663741 PECOS PAC ID: 3779985767 Enrollment ID: I20231006000801 |
Provider Name | Carter Jay Rubin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083313274 PECOS PAC ID: 4082088539 Enrollment ID: I20231020001550 |
Provider Name | Jesse Brunner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225538309 PECOS PAC ID: 5799047700 Enrollment ID: I20231026003348 |
Provider Name | Benjamin Robert Langford |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336920370 PECOS PAC ID: 9638525579 Enrollment ID: I20231027002553 |
Provider Name | Monique Nicole Lawson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407634348 PECOS PAC ID: 0648626440 Enrollment ID: I20231031002102 |
Provider Name | Hannah Grandell |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407592702 PECOS PAC ID: 1254706161 Enrollment ID: I20231102002692 |
Provider Name | Christine Angeli Jison Cornel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730873894 PECOS PAC ID: 0143677724 Enrollment ID: I20231103003425 |
Provider Name | Geetha Madhuri Chintamaneni |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407263940 PECOS PAC ID: 8022441682 Enrollment ID: I20231107002273 |
Provider Name | Erin Healy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063865228 PECOS PAC ID: 8022481589 Enrollment ID: I20240104002763 |
Provider Name | Tyler Holland |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528712114 PECOS PAC ID: 6204202393 Enrollment ID: I20240110003718 |
Provider Name | Joel Clutton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760063713 PECOS PAC ID: 0042668527 Enrollment ID: I20240215003628 |
Provider Name | Anngie May Axalan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669968012 PECOS PAC ID: 6507201340 Enrollment ID: I20240301003483 |
Provider Name | Kimberly Yancey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619239746 PECOS PAC ID: 9234561119 Enrollment ID: I20240311003733 |
Provider Name | Michael Stewart |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518336726 PECOS PAC ID: 0749635522 Enrollment ID: I20240411003181 |
Provider Name | Samiksha Tawade |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437873718 PECOS PAC ID: 8921477860 Enrollment ID: I20240417003942 |
Provider Name | Blake Golden |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790537306 PECOS PAC ID: 1052750189 Enrollment ID: I20240422002137 |
Provider Name | Marielle Bertram |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922546902 PECOS PAC ID: 0547546228 Enrollment ID: I20240703001156 |
Provider Name | Vrushali Desai |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285213256 PECOS PAC ID: 2668864851 Enrollment ID: I20240730002799 |
Provider Name | Kelsey Downing Johnson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457887598 PECOS PAC ID: 5395090096 Enrollment ID: I20240730003639 |
Provider Name | Christelle Macachor |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003555699 PECOS PAC ID: 2163953159 Enrollment ID: I20241001003333 |
Provider Name | Asia Suriyachottakul |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689494023 PECOS PAC ID: 4587197868 Enrollment ID: I20241024002802 |
Provider Name | Kelsey Vostad |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114749108 PECOS PAC ID: 7810421112 Enrollment ID: I20241108002403 |
Provider Name | Amanda Roo Howar |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801467568 PECOS PAC ID: 7214330976 Enrollment ID: I20241118000165 |
Provider Name | Rebecca Graham |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841500147 PECOS PAC ID: 9234350927 Enrollment ID: I20241203001462 |
Mailing Address | Practice 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 |
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 | |
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 |