Active NPI
Rosedaveia Howell
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1104332683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5141
- Practice address
- 4505 S Maryland Pkwy
Las Vegas, NV 89154-9900 - Phone
- (702) 895-3011
- NPI assigned
- Dec 20, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 5141 | NV | Primary |
Addresses
Primary practice location
4505 S Maryland Pkwy
Las Vegas, NV 89154-9900
Mailing address
8896 W Rochelle Ave
Las Vegas, NV 89147-0430
Phone (386) 383-1413
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5141 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debbie Tilton Otrl Inc | Physical Therapist | Past | Accepting new patients |
| Tiltons Therapy Inc | Physical Therapist | Past | Accepting new patients |
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": "1513728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725667200000",
"number": "1104332683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8896 W ROCHELLE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891470430",
"telephone_number": "386-383-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 S MARYLAND PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891549900",
"telephone_number": "702-895-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWELL",
"first_name": "ROSEDAVEIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-20",
"last_updated": "2024-09-07",
"certification_date": "2024-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "5141",
"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 Sep 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.