Individual provider Active NPI

Mark T Lawrence, PT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1023024999
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0492 Issued in NV
Practice address
8955 S Pecos Rd
1-A
Henderson, NV 89074-7156
Phone
(702) 474-7212
Fax
(702) 474-7458
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0492 NV Primary

Addresses

Primary practice location

8955 S Pecos Rd
1-A
Henderson, NV 89074-7156

Mailing address

7301 Peak Dr
150
Las Vegas, NV 89128-9037
Phone (702) 804-0026

Other identifiers 1

IdentifierTypeStateIssuer
1023024999MedicaidNV

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

State licenses

LicenseStateTypeSpecialty
0492NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics & Sports Medicine LLC Past Accepting new patients
New Century Rehabilitation, LLC Past Accepting new patients
Orthopedics & Sports Medicine LLC Physical Therapist Past Accepting new patients
New Century Rehabilitation LLC Physical Therapist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1023024999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 PEAK DR",
            "address_2": "150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289037",
            "telephone_number": "702-804-0026",
            "fax_number": "702-243-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 S PECOS RD",
            "address_2": "1-A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747156",
            "telephone_number": "702-474-7212",
            "fax_number": "702-474-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MARK",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023024999",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.