Mark Rizkalla, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3466 Issued in NV

Practice address

1815 E Lake Mead Blvd Ste 200
N Las Vegas, NV 89030-7189

Phone

(702) 685-0440

Fax

(702) 974-6717

NPI assigned

Jan 19, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Chynoweth Hill and Leavitt LLC

  dba Kelly Hawkins Physical Therapy Works

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1164415279

  Physical Therapist

  NPD
• Chynoweth Hill and Leavitt LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1780303727
  NPD
• Nevada Luna Care Physical Therapy LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1457087009
  NPD
• New Century Rehabilitation LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1396777892
  NPD
• New Century Rehabilitation, LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1801471628
  NPD

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1023554748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S TONOPAH DR STE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064040",
            "telephone_number": "702-384-6330",
            "fax_number": "702-384-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD STE 200",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890307189",
            "telephone_number": "702-685-0440",
            "fax_number": "702-974-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZKALLA",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-19",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102355478",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalia Isabel Rivera
• Jonathan Omar Rivera, RRT
• Margarita Rivera
• Viola Dee Rivera
• Raymonda Rizer
• Roderick Robbins II
• Minnie Roberson
• Joshua Luke Roberts, IDMT
• Shannon Monique Roberts
• Alyssa Kay Robinson

• Physical Therapist in N Las Vegas, NV
• Providers in N 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 Jan 22, 2019; 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.