- Medicare Physical Therapist in Las Vegas, NV

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is a medicare enrolled "Physical Therapist" provider in Las Vegas, Nevada. Their current practice location is 4510 S Eastern Ave Ste 5, Las Vegas, Nevada. You can reach out to their office (for appointments etc.) via phone at (702) 381-6053.

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 1376175786.

Contact Information

4510 S Eastern Ave Ste 5,
Las Vegas, NV 89119-6118
(702) 381-6053
(702) 987-0199

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPhysical Therapist
Location4510 S Eastern Ave Ste 5, 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: 1376175786
  • Provider Enumeration Date: 02/04/2020
  • Last Update Date: 01/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4183033954
  • Enrollment ID: O20210506002238

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376175786NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary
2251C2600XPhysical Therapist - Cardiopulmonary (* (Not Available))Secondary
2251X0800XPhysical Therapist - Orthopedic (* (Not Available))Secondary
225XP0019XOccupational Therapist - Physical Rehabilitation (* (Not Available))Secondary
2278P1005XRespiratory Therapist, Certified - Pulmonary Rehabilitation (* (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 NameKevin A Sumida
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1548206790
PECOS PAC ID: 2961405311
Enrollment ID: I20150518001508
Provider NameEvelaine M Arnoco
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1366809444
PECOS PAC ID: 9234480971
Enrollment ID: I20180919003287
Provider NameSandra Victoria Marquez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629427745
PECOS PAC ID: 1355750126
Enrollment ID: I20210506002988
Provider NameJose Gorgonia Tiu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952602674
PECOS PAC ID: 3870902554
Enrollment ID: I20210510001802
Provider NameTrisha Marie Suerte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831694017
PECOS PAC ID: 6204164817
Enrollment ID: I20230620000670
Provider NameJon Philip Lim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770126856
PECOS PAC ID: 9436518560
Enrollment ID: I20230706003595
Provider NameErika Marie Velayo Cabahug
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1023887932
PECOS PAC ID: 5991141020
Enrollment ID: I20240312002757
Provider NameChristine Hsu-nazzal
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1992225593
PECOS PAC ID: 4385086065
Enrollment ID: I20240527000273

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

4510 S Eastern Ave Ste 5,
Las Vegas, NV 89119-6118

Ph: (702) 381-6053
4510 S Eastern Ave Ste 5,
Las Vegas, NV 89119-6118

Ph: (702) 381-6053

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.