Active NPI
Grzegorz Ros, PHYSICAL THERAPIST
- Physical Therapy Clinic/Center
- Las Vegas, NV
National Provider Identifier
1013233634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 2413
- Practice address
- 5920 S Rainbow Blvd
Suite 1
Las Vegas, NV 89118-4208 - Phone
- (702) 248-7903
- NPI assigned
- Apr 8, 2010
- 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 Therapy Clinic/Center | 261QP2000X | 2413 | NV | Primary |
Addresses
Primary practice location
5920 S Rainbow Blvd
Suite 1
Las Vegas, NV 89118-4208
Mailing address
9975 Peace Way
2019
Las Vegas, NV 89147-8256
Phone (702) 325-8644
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Las Vegas, NV
- NPI 1790851376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1013233634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9975 PEACE WAY",
"address_2": "2019",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478256",
"telephone_number": "702-325-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 S RAINBOW BLVD",
"address_2": "SUITE 1",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891184208",
"telephone_number": "702-248-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROS",
"first_name": "GRZEGORZ",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-08",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NV",
"license": "2413",
"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 Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.