Phase 1 Medical, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHASE 1 MEDICAL, LLC

Practice address

7770 Dean Martin Dr Ste 307
Las Vegas, NV 89139-6603

Phone

(702) 641-0011

NPI assigned

Aug 1, 2019

Last updated

Aug 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Waters

Title

Owner

Phone

(702) 300-4880

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1023663572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 DEAN MARTIN DR STE 307",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396603",
            "telephone_number": "702-641-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 DEAN MARTIN DR STE 307",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396603",
            "telephone_number": "702-641-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE 1 MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-300-4880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmascript Inc
• Pharmassist LLC
• Pharmix Center, LLC
• Deshon Pharr
• Donna Pharr
• Phase 1 Sports Physical Therapy LLC
• Phases Community Services (Phases Community Services LLC)
• Phases of Life Consulting (Impact Behavioral Services)
• Phases of Me, Inc.
• PHC of Nevada Inc (Harmony Healthcare)

• Physical Therapy Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapy Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.