Individual provider Active NPI

Maria Arce Consolo, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1053509661
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4370 Blue Diamond Rd Ste 100
Las Vegas, NV 89139-7787
Phone
(702) 443-9301
Fax
(702) 342-0600
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 015304 NY
Physical Therapist 225100000X 015304 NY
Physical Therapist 225100000X NV Primary

Addresses

Primary practice location

4370 Blue Diamond Rd Ste 100
Las Vegas, NV 89139-7787

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

316 N Greeley Ave
Chappaqua, NY 10514-2748
Phone (917) 365-1852

Other names 1

  • Maria Lea Aclo Arce Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250225003599 NV Practitioner - Physical Therapist in Private Practice 9830619451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation, LLC CurrentSince Feb 14, 2025 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Feb 14, 2025 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

4370 Blue Diamond Rd
Ste 100
Las Vegas, NV 89139
Phone (702) 443-9301

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

Organizations & group practices 2

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1053509661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 BLUE DIAMOND RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397787",
            "telephone_number": "702-443-9301",
            "fax_number": "702-342-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 N Greeley Ave",
            "address_purpose": "LOCATION",
            "city": "Chappaqua",
            "state": "NY",
            "postal_code": "105142748",
            "country_code": "US",
            "telephone_number": "917-365-1852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONSOLO",
        "first_name": "MARIA",
        "middle_name": "ARCE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "015304",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015304",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA LEA",
            "last_name": "ARCE",
            "middle_name": "ACLO",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Feb 11, 2025; 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.