Active NPI
Lance A Jones, DOCTOR OF PT
- Occupational Therapist
- Las Vegas, NV
National Provider Identifier
1093011025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 09-0198
- Practice address
- 3116 Port Side Dr
Las Vegas, NV 89117-2292 - Phone
- (702) 245-6375
- NPI assigned
- Feb 9, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2534 | NV | |
| Occupational Therapist | 225X00000X | 09-0198 | NV | Primary |
Addresses
Primary practice location
3116 Port Side Dr
Las Vegas, NV 89117-2292
Mailing address
3116 Port Side Dr
Las Vegas, NV 89117-2292
Phone (702) 245-6375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3090 S Durango Dr
Las Vegas, NV 89117-9192
Phone (702) 954-4956
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Life Therapy, Inc | Current | Accepting new patients |
Locations
3090 S Durango Dr
#200F
Las Vegas, NV 89117
Phone (702) 954-4956
3090 S Durango Dr
Ste 200
Las Vegas, NV 89117
2465 Reynolds Ave
Ste 201
North Las Vegas, NV 89030
Phone (702) 203-1066
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.
-
- Physical Therapy Clinic/Center
- North Las Vegas, NV
- NPI 1629588546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1093011025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 PORT SIDE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172292",
"telephone_number": "702-245-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3116 PORT SIDE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172292",
"telephone_number": "702-245-6375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LANCE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DOCTOR OF PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-09",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2534",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "09-0198",
"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 Jan 17, 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.