Active NPI
Eric Anthony Vial, MS,PT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1003806597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT14879
- Practice address
- 1525 E Windmill LN Ste 202
Las Vegas, NV 89123-1903 - Phone
- (702) 202-1280
- Fax
- (702) 361-8596
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT14879 | CA | Primary |
Addresses
Primary practice location
1525 E Windmill LN Ste 202
Las Vegas, NV 89123-1903
Mailing address
515 Ash St
Susanville, CA 96130-3711
Phone (530) 257-7711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171080100 | Other | CA | OWCP PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT14879 | CA | MD | Physical Therapist |
| 14879 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1003806597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 ASH ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961303711",
"telephone_number": "530-257-7711",
"fax_number": "530-257-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 E WINDMILL LN STE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891231903",
"telephone_number": "702-202-1280",
"fax_number": "702-361-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIAL",
"first_name": "ERIC",
"middle_name": "ANTHONY",
"credential": "MS,PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT14879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP PROVIDER NUMBER",
"identifier": "171080100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.