Individual provider Active NPI

Matthew Thomas

  • Physical Therapist
  • Mesquite, NV
National Provider Identifier
1043473879
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1594 Issued in 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
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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 1594 NV Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702001225 NV Practitioner - Physical Therapist in Private Practice 3375520612 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Outbound Therapy Services LLC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Citi Med CurrentSince Aug 1, 2025 Accepting new patients
Nevada Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 8, 2024 Accepting new patients
Marchant Physical Therapy & Wellness, Inc. Physical Therapist Past Accepting new patients
Advantage Health Care 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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1043473879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890240069",
            "telephone_number": "702-346-3105",
            "fax_number": "702-346-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N SANDHILL BLVD",
            "address_2": "STE B",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274789",
            "telephone_number": "702-346-3105",
            "fax_number": "702-346-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.