Individual provider Active NPI

Roxanne Aurelio

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1104661008
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1525 E Windmill LN Ste 102
Las Vegas, NV 89123-1903
Phone
(702) 508-9325
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 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 Primary

Addresses

Primary practice location

1525 E Windmill LN Ste 102
Las Vegas, NV 89123-1903

Mailing address

1525 E Windmill LN Ste 102
Las Vegas, NV 89123-1903

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802000924 NV Practitioner - Physical Therapist in Private Practice 4284171646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Physical Therapy Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Therapy West LLC Physical Therapist Past Accepting new patients

Locations

806 Buchanan Blvd
Ste 103
Boulder City, NV 89005
Phone (702) 246-2787

129 W Lake Mead Pkwy
Ste 2
Henderson, NV 89015
Phone (702) 564-7309

1358 Paseo Verde Pkwy
Ste 200
Henderson, NV 89012
Phone (702) 518-5774

9050 W Cheyenne Ave
#210
Las Vegas, NV 89129
Phone (702) 209-0069

1525 E Windmill Ln
Ste 102
Las Vegas, NV 89123
Phone (702) 508-9325

1333 N Buffalo Dr
Unit 170
Las Vegas, NV 89128
Phone (702) 660-2694

3840 W Ann Rd
Ste 101B
North Las Vegas, NV 89031
Phone (702) 660-2694

2250 Postal Dr
Ste 4
Pahrump, NV 89048
Phone (775) 727-3838

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1104661008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E WINDMILL LN STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E WINDMILL LN STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231903",
            "telephone_number": "702-508-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AURELIO",
        "first_name": "ROXANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.