Individual provider Active NPI

Mary Ellen Ruiz Papin, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1083889711
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27413 Issued in CA
Practice address
1437 Ozzie Smith Ave
Henderson, NV 89074-7631
Phone
(702) 912-2820
Fax
(702) 912-2820
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4332 NV
Geriatric Physical Therapist 2251G0304X 4332 NV
Geriatric Physical Therapist 2251G0304X 27413 CA
Physical Therapist 225100000X 27413 CA Primary

Addresses

Primary practice location

1437 Ozzie Smith Ave
Henderson, NV 89074-7631

Mailing address

1437 Ozzie Smith Ave
Henderson, NV 89074-7631
Phone (702) 912-2820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4332NVMDDentist
27413CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arleen D Thomas Physical Therapist Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1083889711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 OZZIE SMITH AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747631",
            "telephone_number": "702-912-2820",
            "fax_number": "702-912-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 OZZIE SMITH AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747631",
            "telephone_number": "702-912-2820",
            "fax_number": "702-912-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPIN",
        "first_name": "MARY ELLEN",
        "middle_name": "RUIZ",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4332",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NV",
            "license": "4332",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "27413",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.