- Medicare in Las Vegas, NV

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is a medicare enrolled "Clinic/center - Physical Therapy" provider in Las Vegas, Nevada. Their current practice location is 9070 W Cheyenne Ave Ste 100, Las Vegas, Nevada. You can reach out to their office (for appointments etc.) via phone at (702) 818-5000.

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 1215361688.

Contact Information

9070 W Cheyenne Ave Ste 100,
Las Vegas, NV 89129-8935
(702) 818-5000
(702) 818-5001

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Physical Therapy
Location9070 W Cheyenne Ave Ste 100, 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: 1215361688
  • Provider Enumeration Date: 08/21/2013
  • Last Update Date: 12/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4880820844
  • Enrollment ID: O20131121000481

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215361688NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

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 NameJimmy Pajuheshfar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154757243
PECOS PAC ID: 7214152628
Enrollment ID: I20140626002683
Provider NameJames L Mortensen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013326602
PECOS PAC ID: 4486876828
Enrollment ID: I20141119001357
Provider NameAlexis N Carlston
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649647652
PECOS PAC ID: 0547577207
Enrollment ID: I20150914002487
Provider NameAlexander Darkhovsky
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558713321
PECOS PAC ID: 5092002543
Enrollment ID: I20160927000903
Provider NameKrysta A Boyd
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275085912
PECOS PAC ID: 6608155528
Enrollment ID: I20161117000892
Provider NameLaura Ann Badovinac
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114443298
PECOS PAC ID: 4486911179
Enrollment ID: I20171205003017
Provider NameStaci Elizabeth Petralba
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1184007692
PECOS PAC ID: 8426310632
Enrollment ID: I20180328002524
Provider NameKristilyn Kay Jeffries
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932681046
PECOS PAC ID: 9133472467
Enrollment ID: I20181102000425
Provider NameZachary Mcconnell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073097002
PECOS PAC ID: 4284988379
Enrollment ID: I20200918001791
Provider NameJessica Fadgen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750954582
PECOS PAC ID: 2860895828
Enrollment ID: I20210728001978
Provider NameKarleeann Bush
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235884065
PECOS PAC ID: 4880088913
Enrollment ID: I20220718001844
Provider NameNicholas C Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235846601
PECOS PAC ID: 7416325758
Enrollment ID: I20221117002562
Provider NameAlexander Mirzoyan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255056818
PECOS PAC ID: 6608244603
Enrollment ID: I20221123000720
Provider NameCrizlin I Julian
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902518798
PECOS PAC ID: 0648640482
Enrollment ID: I20230112000252
Provider NameMatthew Serrano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336619766
PECOS PAC ID: 5799022315
Enrollment ID: I20230324001337
Provider NameNicole Kaes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871284984
PECOS PAC ID: 4587022058
Enrollment ID: I20230615002891
Provider NameNicholas Clark Edwards
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275223174
PECOS PAC ID: 4981062130
Enrollment ID: I20230620001723
Provider NameBilly La
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659057115
PECOS PAC ID: 6709245509
Enrollment ID: I20230711001248
Provider NameChristopher Dimaano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518646447
PECOS PAC ID: 6800259334
Enrollment ID: I20230830002810
Provider NameAlyssa Brusatto
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508545542
PECOS PAC ID: 4688038557
Enrollment ID: I20230911002482
Provider NameNikael Badovinac
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861172587
PECOS PAC ID: 5294199188
Enrollment ID: I20230911003228
Provider NameEmily Redpath
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1881377430
PECOS PAC ID: 3375997356
Enrollment ID: I20230925001975
Provider NameJoseph Lippman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083499578
PECOS PAC ID: 4183079536
Enrollment ID: I20231005000348
Provider NameChristal Liaw Chen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568140499
PECOS PAC ID: 7719338748
Enrollment ID: I20240103004870
Provider NameAlicia Letkiewicz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821838418
PECOS PAC ID: 4486191475
Enrollment ID: I20240808001366
Provider NameBryce Pfeifle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437981354
PECOS PAC ID: 7810438520
Enrollment ID: I20240923000201
Provider NameKaylee Savage
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831925262
PECOS PAC ID: 8628500618
Enrollment ID: I20241015003981
Provider NameMateo Serrano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285451906
PECOS PAC ID: 8022540020
Enrollment ID: I20241015004277

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

9070 W Cheyenne Ave Ste 100,
Las Vegas, NV 89129-8935

Ph: (702) 818-5000
9070 W Cheyenne Ave Ste 100,
Las Vegas, NV 89129-8935

Ph: (702) 818-5000

Reviews and Comments



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).

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