Individual provider Active NPI

Ivan Sanchez, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1063890812
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2986 Issued in NV
Practice address
727 N Nellis Blvd
Las Vegas, NV 89110-5384
Phone
(725) 726-7847
Fax
(725) 726-7876
NPI assigned
May 13, 2015
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 2986 NV Primary

Addresses

Primary practice location

727 N Nellis Blvd
Las Vegas, NV 89110-5384

Mailing address

10785 W Twain Ave Ste 250
Las Vegas, NV 89135-3026
Phone (725) 726-7847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151222000523 NV Practitioner - Physical Therapist in Private Practice 7810298536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smith Therapy PartnersGroup PAC ID 1052731072, 46 clinicians
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians

Practice addresses (Care Compare)

2879 Saint Rose Pkwy
Suite 110
Henderson, NV 89052-4808
Phone (725) 726-7847

727 N Nellis Blvd
Las Vegas, NV 89110-5384
Phone (702) 459-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2986NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Therapy Partners Physical Therapist CurrentSince Jan 18, 2021 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince May 13, 2015 Accepting new patients
New Century Rehabilitation, LLC CurrentSince May 13, 2015 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

2879 Saint Rose Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 896-3444

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

10785 W Twain Ave
Ste 250
Las Vegas, NV 89135

2820 W Charleston Blvd
Ste 1
Las Vegas, NV 89102

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

6590 S Rainbow Blvd
Ste 230
Las Vegas, NV 89118
Phone (702) 326-0528

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

Organizations & group practices 4

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": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1063890812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10785 W TWAIN AVE STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891353026",
            "telephone_number": "725-726-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105384",
            "telephone_number": "725-726-7847",
            "fax_number": "725-726-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "IVAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2986",
            "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 16, 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.