Organization Active NPI

Therapeutic Massaging Insoles

  • Prosthetic/Orthotic Supplier
  • Las Vegas, NV
National Provider Identifier
1013182666
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THERAPEUTIC MASSAGING INSOLES
Practice address
3280 Wynn Rd
Suite #1
Las Vegas, NV 89102-7823
Phone
(702) 966-2414
Fax
(702) 629-7647
NPI assigned
Apr 24, 2008
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. Kevin James WiltzNPI 1073775367
Title
Managing Partner
Phone
(702) 966-2414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

3280 Wynn Rd
Suite #1
Las Vegas, NV 89102-7823

Mailing address

3280 Wynn Rd
Suite #1
Las Vegas, NV 89102-7823
Phone (702) 966-2414

National Provider Directory

National Provider Directory

Locations

3280 Wynn Rd
Ste 1
Las Vegas, NV 89102
Phone (702) 966-2414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1013182666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 WYNN RD",
            "address_2": "SUITE #1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027823",
            "telephone_number": "702-966-2414",
            "fax_number": "702-629-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 WYNN RD",
            "address_2": "SUITE #1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027823",
            "telephone_number": "702-966-2414",
            "fax_number": "702-629-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC MASSAGING INSOLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "WILTZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-966-2414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 13, 2008; 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.