Individual provider Active NPI

John Laceda, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1043096472
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7121 W Craig Rd Ste 110
Las Vegas, NV 89129-6023
Phone
(725) 726-7847
Fax
(725) 726-7876
NPI assigned
Sep 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 Primary

Addresses

Primary practice location

7121 W Craig Rd Ste 110
Las Vegas, NV 89129-6023

Mailing address

3333 Strawberry Roan Rd
N Las Vegas, NV 89032-2477
Phone (702) 630-1354

Other practice location 1

401 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0397
Phone (702) 818-5000

Other practice location 2

6785 W Russell Rd Ste 110
Las Vegas, NV 89118-1862
Phone (702) 818-5000

Other practice location 3

9005 S Pecos Rd Ste 2520
Henderson, NV 89074-7191
Phone (702) 818-5000

Other practice location 4

1590 W Sunset Rd Ste 110
Henderson, NV 89014-6633
Phone (702) 818-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915002520 NV Practitioner - Physical Therapist in Private Practice 2264896703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smith Therapy PartnersGroup PAC ID 1052731072, 46 clinicians

Practice addresses (Care Compare)

7121 W Craig Rd
Suite 110
Las Vegas, NV 89129-6023
Phone (725) 726-7847

727 N Nellis Blvd
Las Vegas, NV 89110-5384
Phone (725) 726-7847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Therapy Partners Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

7121 W Craig Rd
Ste 110
Las Vegas, NV 89129

727 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-4900

10040 Alta Dr
Ste 230
Las Vegas, NV 89145
Phone (725) 726-7947

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.

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1043096472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 STRAWBERRY ROAN RD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890322477",
            "telephone_number": "702-630-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 W CRAIG RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296023",
            "telephone_number": "725-726-7847",
            "fax_number": "725-726-7876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Buffalo Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891450397",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6785 W Russell Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891181862",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9005 S Pecos Rd Ste 2520",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890747191",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1590 W Sunset Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890146633",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACEDA",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-01",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 22, 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.