Individual provider Active NPI

Karoline Intriago-Sedgwick, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1043972656
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10040 Alta Dr Ste 230
Las Vegas, NV 89145-8630
Phone
(725) 726-7847
NPI assigned
Oct 11, 2021
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 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

10040 Alta Dr Ste 230
Las Vegas, NV 89145-8630

Mailing address

10040 Alta Dr Ste 230
Las Vegas, NV 89145-8630
Phone (725) 726-7847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021001998 NV Practitioner - Physical Therapist in Private Practice 5092103176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
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)

10040 Alta Dr
Suite 230
Las Vegas, NV 89145-8630
Phone (725) 726-7847

2820 W Charleston Blvd
Suite 1
Las Vegas, NV 89102-1942
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 Oct 11, 2021 Accepting new patients
David Camp Physical Therapy Physical Therapist Past Accepting new patients
Sunrise Mountainview Hospital, Inc. PastSince Oct 17, 2021 Accepting new patients

Locations

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

10785 W Twain Ave
Ste 250
Las Vegas, NV 89135

4000 S Eastern Ave
Ste 150
Las Vegas, NV 89119
Phone (702) 476-0262

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

Organizations & group practices 3

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1043972656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 ALTA DR STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458630",
            "telephone_number": "725-726-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 ALTA DR STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458630",
            "telephone_number": "725-726-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTRIAGO-SEDGWICK",
        "first_name": "KAROLINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "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 Sep 24, 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.