Individual provider Active NPI

Craig V Perry, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1083901508
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2570 Issued in NV
Practice address
8925 W Russell Rd
Suite 140
Las Vegas, NV 89148-1219
Phone
(702) 914-6787
Fax
(702) 914-6885
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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 2570 NV Primary

Addresses

Primary practice location

8925 W Russell Rd
Suite 140
Las Vegas, NV 89148-1219

Mailing address

3831 W Charleston Blvd
Las Vegas, NV 89102-1859
Phone (702) 876-1733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111004000234 NV Practitioner - Physical Therapist in Private Practice 2466624085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nevada School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chynoweth Hill and Leavitt LLCGroup PAC ID 7012980550, 41 clinicians

Practice addresses (Care Compare)

8925 W Russell Rd
Suite 140
Las Vegas, NV 89148-1220
Phone (702) 914-6787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2570NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chynoweth Hill and Leavitt LLC CurrentSince Jun 24, 2011 Accepting new patients
Chynoweth Hill and Leavitt LLC Physical Therapist CurrentSince Jun 24, 2011 Accepting new patients

Locations

3831 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 876-1733

8925 W Russell Rd
Ste 140
Las Vegas, NV 89148
Phone (702) 914-6787

921 S Nevada Highway 160
Ste 409
Pahrump, NV 89048
Phone (775) 727-3838

Organizations & group practices 2

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1083901508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021859",
            "telephone_number": "702-876-1733",
            "fax_number": "702-878-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 W RUSSELL RD",
            "address_2": "SUITE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481219",
            "telephone_number": "702-914-6787",
            "fax_number": "702-914-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CRAIG",
        "middle_name": "V",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2570",
            "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 8, 2015; 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.