Individual provider Active NPI

Henry Tai Tran, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1093997405
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2136 Issued in NV
Practice address
8205 W Warm Springs Rd Ste 250
Las Vegas, NV 89113-3646
Phone
(702) 294-7493
Fax
(702) 252-0369
NPI assigned
Nov 28, 2007
Sex
Male
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 2136 NV Primary

Addresses

Primary practice location

8205 W Warm Springs Rd Ste 250
Las Vegas, NV 89113-3646

Mailing address

8205 W Warm Springs Rd Ste 250
Las Vegas, NV 89113-3646
Phone (702) 294-7493

Other practice location 1

4510 S Eastern Ave
Suite 7
Las Vegas, NV 89119-6149
Phone (702) 734-2732

Other identifiers 1

IdentifierTypeStateIssuer
1093997405MedicaidNV

Other names 1

  • Mr. Tai Ba Tran Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071219000555 NV Practitioner - Physical Therapist in Private Practice 4789774340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Orthopaedic Center LTDGroup PAC ID 6406759661, 103 clinicians

Practice addresses (Care Compare)

8205 W Warm Springs Rd
Suite 250
Las Vegas, NV 89113-3646
Phone (702) 227-2152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2136NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Orthopaedic Center, LTD. CurrentSince Oct 24, 2023 Accepting new patients
Daniel M. Antonino Prof. Corp. CurrentSince Jan 2, 2023 Accepting new patients
Nevada Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 13, 2022 Accepting new patients
Peak Condition, LLC Physical Therapist Past Accepting new patients
New Century Rehabilitation, LLC Past Accepting new patients
Peak Condition LLC Physical Therapist PastSince Nov 15, 2004 Accepting new patients

Locations

7955 W Sahara Ave
Ste 103
Las Vegas, NV 89117
Phone (702) 233-3288

5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964

2800 E Desert Inn Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 294-7499

8205 W Warm Springs Rd
Ste 250
Las Vegas, NV 89113
Phone (702) 227-2152

Organizations & group practices 6

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1093997405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 W WARM SPRINGS RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133646",
            "telephone_number": "702-294-7493",
            "fax_number": "702-252-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 W WARM SPRINGS RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133646",
            "telephone_number": "702-294-7493",
            "fax_number": "702-252-0369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4510 S Eastern Ave",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891196149",
            "country_code": "US",
            "telephone_number": "702-734-2732",
            "fax_number": "702-737-1453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "HENRY",
        "middle_name": "TAI",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093997405",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAI",
            "last_name": "TRAN",
            "middle_name": "BA",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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.
  • 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.