Kanisha Lauren Tippens, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6539 Issued in NV

Practice address

2800 E Desert Inn Rd Ste 200
Las Vegas, NV 89121-3632

Phone

(702) 294-7499

Fax

(702) 735-0097

NPI assigned

Sep 12, 2024

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

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Orthopaedic Center LTDGroup PAC ID 6406759661, 103 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.

• Desert Orthopaedic Center, LTD.

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1548235302
  Medicare reassignment Care Compare group NPD
• Desert Orthopaedic Billing LLC

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1972825602
  NPD (past)

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1013743285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E DESERT INN RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213632",
            "telephone_number": "702-294-7499",
            "fax_number": "702-735-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E DESERT INN RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213632",
            "telephone_number": "702-294-7499",
            "fax_number": "702-735-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPENS",
        "first_name": "KANISHA",
        "middle_name": "LAUREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Maria Tipan
• Mary Ann Benogsudan Tipanero
• Pauline Anne Tipanero
• Angelito Tipon
• Aniyah Tippens
• Elizabeth Tippery
• Karen Tippett
• Marissa Tippett
• Zachary Tippetts
• Kathryn Painter Tipping, PTA

• 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 Sep 12, 2024; 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.