Joseph Thaddeus Santiago Santos

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6319 Issued in NV

Practice address

821 N Nellis Blvd Ste 130
Las Vegas, NV 89110-5387

Phone

(702) 452-4563

Fax

(702) 452-6704

NPI assigned

Nov 20, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dignity Select Nevada LLCGroup PAC ID 0941541155, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dignity Select Nevada LLC

  • Physical Therapy Clinic/Center
  • Henderson, NV
  • NPI 1710446281

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Smith Therapy Partners

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1134758709
  Medicare reassignment NPD
• Dignity Select Nevada, LLC

  • Physical Therapy Clinic/Center
  • Las Vegas, NV
  • NPI 1427626399
  NPD
• Dignity Select Nevada, LLC

  • Physical Therapy Clinic/Center
  • Las Vegas, NV
  • NPI 1821962572
  NPD

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1093580060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N NELLIS BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105387",
            "telephone_number": "702-452-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N NELLIS BLVD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105387",
            "telephone_number": "702-452-4563",
            "fax_number": "702-452-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JOSEPH THADDEUS",
        "middle_name": "SANTIAGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Santos
• Jaustina Monaie Santos
• Jerome Christian Mostaza Santos
• Jesse Santos
• Joseph Marfil Santos
• Josephine Antoinette Santos
• Joyce Ann Camille Castillo Santos, APRN
• Katrina Nicole Bucao Santos
• Kimberly Quito Santos
• Laury Santos

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.