Gladstone George, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3593 Issued in NV

Practice address

2832 S Maryland Pkwy
Las Vegas, NV 89109-1502

Phone

(702) 735-5848

Fax

(702) 735-6218

NPI assigned

Sep 12, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edwin Suarez Physical Therapy, LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1457534869
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003335969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091502",
            "telephone_number": "702-735-5848",
            "fax_number": "702-735-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091502",
            "telephone_number": "702-735-5848",
            "fax_number": "702-735-6218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 E Sunset Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891207217",
            "country_code": "US",
            "telephone_number": "702-368-6778 x1",
            "fax_number": "702-368-6775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4955 S Durango Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891130153",
            "country_code": "US",
            "telephone_number": "702-368-6778 x2",
            "fax_number": "702-368-7811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 N Durango Dr # 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493916",
            "country_code": "US",
            "telephone_number": "702-368-6778 x3",
            "fax_number": "702-368-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "GLADSTONE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "3593",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine M George, M.D.
• Constantine George, MD
• Cory George
• Debra George
• Elishia George
• Guenet George
• Jeffrey John George
• Jijo George, RN
• Leilani George
• Lori George

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.