Individual provider Active NPI

Trevor Neal D'Souza, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1114275344
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5006 Issued in NV
Practice address
833 Aspen Peak Loop Unit 911
Henderson, NV 89011-4975
Phone
(949) 355-4790
NPI assigned
Aug 20, 2012
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 39293 CA
Physical Therapist 225100000X 5006 NV Primary

Addresses

Primary practice location

833 Aspen Peak Loop Unit 911
Henderson, NV 89011-4975

Mailing address

833 Aspen Peak Loop Unit 911
Henderson, NV 89011-4975
Phone (949) 355-4790

Other practice location 1

401 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0397
Phone (702) 818-5000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 39293CAMDPhysical Therapist
5006NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Physical Therapy Physical Therapist CurrentSince Apr 19, 2020 Accepting new patients
Adi Rehab, Incorporated Physical Therapist PastSince Nov 24, 2019 Accepting new patients
Art of Physical Therapy Physical Therapist PastSince Mar 5, 2013 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1114275344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 ASPEN PEAK LOOP UNIT 911",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114975",
            "telephone_number": "949-355-4790",
            "fax_number": "619-287-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 ASPEN PEAK LOOP UNIT 911",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114975",
            "telephone_number": "949-355-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Buffalo Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891450397",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'SOUZA",
        "first_name": "TREVOR",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-20",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 39293",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "5006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.