Christelle Fernandez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4362 Issued in NV

Practice address

4765 S Durango Dr Ste 106
Las Vegas, NV 89147-8158

Phone

(702) 898-7633

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christelle Anne TH Cusit Macachor Former name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brandon Jackson P TGroup PAC ID 2961480363, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brandon Jackson, P T

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1487682076
  Medicare reassignment Care Compare group NPD
• New Century Rehabilitation LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1396777892
  Medicare reassignment NPD
• New Century Rehabilitation, LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1801471628
  NPD
• Brandon Jackson PT

  • Sports Physical Therapist
  • Las Vegas, NV
  • NPI 1205266764
  NPD (past)

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1003555699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 S DURANGO DR STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478158",
            "telephone_number": "702-898-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CHRISTELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTELLE ANNE TH",
            "last_name": "MACACHOR",
            "middle_name": "CUSIT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda L Fernandez, FNP-C/BC
• Andy Fernandez
• Aymee Fernandez
• Barbara Fernandez
• Carmen Aracely Fernandez, DDS
• Crislyn Fernandez
• Elba Fernandez
• Emily Fernandez
• Eugenio Fernandez
• Frances Manuela Fernandez

• 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 Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.