Active NPI
Brent Yamashita
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1073966362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3376
- Practice address
- 7140 Smoke Ranch Rd
Ste 150
Las Vegas, NV 89128-3157 - Phone
- (702) 320-8111
- Fax
- (702) 320-8112
- NPI assigned
- Jul 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3376 | NV | Primary |
Addresses
Primary practice location
7140 Smoke Ranch Rd
Ste 150
Las Vegas, NV 89128-3157
Mailing address
1095 Sheer Paradise LN Unit 103
Henderson, NV 89002-1058
Phone (801) 367-8579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7455 W Washington Ave
Suite 480
Las Vegas, NV 89128-4338
Phone (702) 320-8111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJDDDD/Endpoint/CJDDDD
Organizations & group practices 1
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.
-
- Orthopaedic Surgery of the Spine Physician
- Las Vegas, NV
- NPI 1932264439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1073966362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 SHEER PARADISE LN UNIT 103",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890021058",
"telephone_number": "801-367-8579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7140 SMOKE RANCH RD",
"address_2": "STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891283157",
"telephone_number": "702-320-8111",
"fax_number": "702-320-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMASHITA",
"first_name": "BRENT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-21",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3376",
"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 Apr 29, 2025; 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.