Matthew Thomas
Individual provider Active NPI Physical Therapist · Mesquite, NV
NPI 1043473879 · NPPES record last updated Jul 2, 2008
Key facts
- NPI
- 1043473879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1594 (NV)
- Practice address
- 210 N Sandhill Blvd
Ste B
Mesquite, NV 89027-4789 - Phone
- (702) 346-3105
- Fax
- (702) 346-3544
- NPI assigned
- Jul 2, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040702001225 | NV | Practitioner - Physical Therapist in Private Practice | 3375520612 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citi Med | Current |
Accepting new patients | |
| Outbound Therapy Services LLC | Physical Therapist | Current |
Accepting new patients |
| Nevada Luna Care Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Advantage Health Care Inc | Physical Therapist | Past | Accepting new patients |
| Marchant Physical Therapy & Wellness, Inc. | Physical Therapist | Past | Accepting new patients |
| Thi of Nevada at Desert Valley Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
5440 W Sahara Ave
Ste 202
Las Vegas, NV 89146
Phone (702) 296-4844
5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1594 | NV | Yes |
Addresses
Primary practice location
210 N Sandhill Blvd
Ste B
Mesquite, NV 89027-4789
Mailing address
PO Box 69
Mesquite, NV 89024-0069
Phone (702) 346-3105
Other providers in Mesquite, NV
- Lori Ellen Swain
- David William Taylor
- Rebecca Terry
- The Foot & Ankle Institute LLC
- Jerry Thomas
- Cheri Thompson
- Feroza Thompson
- Mary H Thompson
- Cody Thornley
- Jodi Thornley
All providers in Mesquite, NV · Physical Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.