Individual provider Active NPI

Kyle S Ozaki, DPT

  • Physical Therapist
  • Mesquite, NV
National Provider Identifier
1053840801
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3543 Issued in NV
Practice address
1140 W. Pioneer Blvd
Mesquite, NV 89027
Phone
(702) 346-1899
Fax
(702) 346-8581
NPI assigned
Jun 6, 2017
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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 3543 NV Primary

Addresses

Primary practice location

1140 W. Pioneer Blvd
Mesquite, NV 89027

Mailing address

PO Box 757
Mesquite, NV 89024-0757
Phone (702) 346-1899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170629002091 NV Practitioner - Physical Therapist in Private Practice 4486923794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesa View Physical Rehabilitation LLCGroup PAC ID 5496710568, 9 clinicians

Practice addresses (Care Compare)

1140 W Pioneer Blvd
Mesquite, NV 89027-8864
Phone (702) 346-1899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3543NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marchant Physical Therapy & Wellness, Inc. Physical Therapist CurrentSince Jun 6, 2017 Accepting new patients
Mesa View Physical Rehabilitation, LLC CurrentSince Oct 1, 2020 Accepting new patients
Dixie Hearing & Balance Center Past Accepting new patients

Locations

1140 W Pioneer Blvd
Mesquite, NV 89027
Phone (702) 346-1899

340 Falcon Ridge Pkwy
#500
Mesquite, NV 89027
Phone (702) 346-3100

340 Falcon Ridge Pkwy
Bldg 500
Mesquite, NV 89027
Phone (435) 688-8991

340 Falcon Ridge Pkwy
Ste 500
Mesquite, NV 89027

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1053840801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890240757",
            "telephone_number": "702-346-1899",
            "fax_number": "702-346-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W. PIONEER BLVD",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "89027",
            "telephone_number": "702-346-1899",
            "fax_number": "702-346-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZAKI",
        "first_name": "KYLE",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3543",
            "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 Aug 29, 2022; 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.