Divya Abraham, DPT
Individual provider Active NPI Physical Therapist · Henderson, NV
NPI 1073182002 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1073182002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5194 (NV)
- Practice address
- 2651 Paseo Verde Pkwy Ste 170
Henderson, NV 89074-6616 - Phone
- (702) 312-4878
- Fax
- (702) 312-4886
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1294650 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Current |
Accepting new patients |
Locations
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1294650 | TX | |
| Physical Therapist | 225100000X | 5194 | NV | Yes |
Addresses
Primary practice location
2651 Paseo Verde Pkwy Ste 170
Henderson, NV 89074-6616
Mailing address
2651 Paseo Verde Pkwy Ste 170
Henderson, NV 89074-6616
Phone (702) 312-4878
Other providers in Henderson, NV
- Able Mind Mental Health
- Azha Justyne Abordo
- Above and Beyond Behavior Health Services
- Abraham T. Fakhouri, M.D.
- Amy Susan Abraham
- Dodie Abrahan
- Asia Abrams
- Alisha Abramson
- Absolute Advantage Home Health Services
- Absolute Home Health and Hospice Care Nevada LLC
All providers in Henderson, NV · Physical Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.