Athleticare, Inc.
Organization Active NPI Physical Therapist · Las Vegas, NV
NPI 1003056334 · NPPES record last updated May 22, 2009
Key facts
- NPI
- 1003056334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1007 (NV)
- Legal business name
- ATHLETICARE, INC.
- Practice address
- 8333 S Eastern Ave
Las Vegas, NV 89123-2503 - Phone
- (702) 263-3802
- Fax
- (702) 270-7740
- NPI assigned
- Feb 26, 2009
- Organization subpart
- No
Authorized official
- Name
- Morgan S. Crum, DPT
- Title
- Physical Therapist/Owner
- Phone
- (702) 263-3802
Practitioners 3
-
Morgan S Crum, PT, DPT, SCS
-
Cory Robert Ginther, DPT
-
Tiffany Barrett, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090519000373 | NV | Part B Supplier - Clinic/Group Practice | 9234288473 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
National Provider Directory
Locations
8333 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 263-3802
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 1007 | NV | Yes |
Addresses
Primary practice location
8333 S Eastern Ave
Las Vegas, NV 89123-2503
Mailing address
8333 S Eastern Ave
Las Vegas, NV 89123-2503
Phone (702) 263-3802
Other names
- AthletiCare
Other providers in Las Vegas, NV
- Athelon Health LLC
- Rosa Maria Atherton Infanson
- Athlete Advantage Medical LLC
- Athletes' Performance Las Vegas LLC
- Athletic Healthcare Incorporated
- Ati Hakimi MD, Prof LLC
- Ati Inc
- Ati Inc
- Ati Inc
- Nilda Alabro Atienza-Isman
All providers in Las Vegas, NV · Physical Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.