| Dynamic Spine & Sport Rehabilitation Llc | |
|
8951 W Sahara Ave, Suite 190, Las Vegas, NV 89117-5898 | |
| (702) 808-4943 | |
| (702) 968-8637 |
| Full Name | Dynamic Spine & Sport Rehabilitation Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Physical Rehabilitation |
| Location | 8951 W Sahara Ave, 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 |
|---|---|---|---|
| 1386871630 | NPI | - | NPPES |
| 100510631 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1815 (Nevada) | Secondary |
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Joseph E Indrieri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972526192 PECOS PAC ID: 1759320096 Enrollment ID: I20050427000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Spine & Sport Rehabilitation Llc 8951 W Sahara Ave Ste 190, Las Vegas, NV 89117-5899 Ph: (702) 685-1607 | Dynamic Spine & Sport Rehabilitation Llc 8951 W Sahara Ave, Suite 190, Las Vegas, NV 89117-5898 Ph: (702) 808-4943 |
Miss Sheila Acosta Marquez, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4275 Burnham Ave, Ste. 225 Desert Springs Therapy Clinic, Las Vegas, NV 89119 Phone: 702-380-1060 Fax: 702-380-1081 | |
Farah Michelle Westreich, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8000 Spring Mountain Rd, 2116, Las Vegas, NV 89117 Phone: 954-253-3739 | |
Alicia Marie Schwarz, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1525 E Windmill Ln, #202, Las Vegas, NV 89123 Phone: 702-434-6920 Fax: 702-361-8596 | |
Geoffrey Shih, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6161 W Charleston Blvd, Las Vegas, NV 89146 Phone: 702-468-8311 | |
Mrs. Kelly Jean Squire-hamblet, MSOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5540 Azuza Ave, Las Vegas, NV 89122 Phone: 702-348-9076 | |
Autism & Behavioral Consulting Services Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7560 W Sahara Ave Ste 107, Las Vegas, NV 89117 Phone: 702-476-2633 Fax: 702-979-1028 | |
Tashia Kaplan, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6375 W Charleston Blvd Bldg L, Las Vegas, NV 89146 Phone: 702-259-1903 |