Individual provider Active NPI

Louie Anton Ang Entienza, RPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1104382290
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044018 Issued in NY
Practice address
7301 Peak Dr Ste 101
Las Vegas, NV 89128-9038
Phone
(702) 940-3000
NPI assigned
Feb 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 044018 NY Primary

Addresses

Primary practice location

7301 Peak Dr Ste 101
Las Vegas, NV 89128-9038

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (224) 433-3585

Other practice location 1

3155 W Craig Rd Ste 120-140
North Las Vegas, NV 89032-0782
Phone (702) 639-2333

Other practice location 2

2016 Grand Ave
North Baldwin, NY 11510-2811
Phone (516) 623-2277

Other identifiers 1

IdentifierTypeStateIssuer
044018MedicaidNY

Other names 1

  • Mr. Louie Anton Ang Entienza Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221229000428 NV Practitioner - Physical Therapist in Private Practice 8224408604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians

Practice addresses (Care Compare)

2225 E Centennial Pkwy
Suite 106
North Las Vegas, NV 89081-5602
Phone (702) 936-7165

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
85
Improvement activities
40
Cost
85.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044018NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation, LLC CurrentSince Oct 31, 2022 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Oct 31, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

7301 Peak Dr
Ste 101
Las Vegas, NV 89128
Phone (702) 940-3000

2225 E Centennial Pkwy
Ste 106
North Las Vegas, NV 89081
Phone (702) 936-7165

3155 W Craig Rd
Ste 120140
North Las Vegas, NV 89032
Phone (702) 639-2333

3155 W Craig Rd
Ste 120
North Las Vegas, NV 89032
Phone (702) 639-2333

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": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1104382290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "224-433-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 PEAK DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289038",
            "telephone_number": "702-940-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3155 W Craig Rd Ste 120-140",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890320782",
            "country_code": "US",
            "telephone_number": "702-639-2333",
            "fax_number": "702-639-2334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2016 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "North Baldwin",
            "state": "NY",
            "postal_code": "115102811",
            "country_code": "US",
            "telephone_number": "516-623-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENTIENZA",
        "first_name": "LOUIE ANTON",
        "middle_name": "ANG",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-14",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044018",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUIE ANTON",
            "last_name": "ENTIENZA",
            "middle_name": "ANG",
            "prefix": "MR.",
            "code": "1",
            "type": "Former 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 Mar 25, 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.