Individual provider Active NPI

Alexandria Beaudoin, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1093587115
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6238 Issued in NV
Practice address
5785 Centennial Center Blvd Ste 220
Las Vegas, NV 89149-7111
Phone
(702) 916-2777
Fax
(702) 916-2778
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 6238 NV Primary

Addresses

Primary practice location

5785 Centennial Center Blvd Ste 220
Las Vegas, NV 89149-7111

Mailing address

5785 Centennial Center Blvd Ste 220
Las Vegas, NV 89149-7111
Phone (702) 916-2777

Other practice location 1

3012 S Durango Dr
Las Vegas, NV 89117-9186
Phone (702) 916-2777

Other practice location 2

861 Coronado Center Dr Ste 201
Henderson, NV 89052-3992
Phone (702) 916-2777

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6238NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Physical Therapy LLC Physical Therapist CurrentSince Oct 29, 2023 Accepting new patients

Locations

861 Coronado Center Dr
Ste 201
Henderson, NV 89052
Phone (702) 897-7331

3012 S Durango Dr
Las Vegas, NV 89117
Phone (702) 835-0088

5785 Centennial Center Blvd
Ste 220
Las Vegas, NV 89149
Phone (702) 916-2777

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1093587115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785 CENTENNIAL CENTER BLVD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497111",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 CENTENNIAL CENTER BLVD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497111",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3012 S Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891179186",
            "country_code": "US",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "861 Coronado Center Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523992",
            "country_code": "US",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUDOIN",
        "first_name": "ALEXANDRIA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6238",
            "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 Oct 23, 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.