Individual provider Active NPI

Frank Rocky Barrett, P.T.

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1124376124
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2690 Issued in NV
Practice address
9070 W Cheyenne Ave
Suite #100
Las Vegas, NV 89129-8934
Phone
(702) 655-8535
Fax
(702) 656-5863
NPI assigned
Aug 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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 2690 NV Primary

Addresses

Primary practice location

9070 W Cheyenne Ave
Suite #100
Las Vegas, NV 89129-8934

Mailing address

9070 W Cheyenne Ave
Suite #100
Las Vegas, NV 89129-8934
Phone (702) 655-8535

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
2690NVMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1124376124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 W CHEYENNE AVE",
            "address_2": "SUITE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298934",
            "telephone_number": "702-655-8535",
            "fax_number": "702-656-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 W CHEYENNE AVE",
            "address_2": "SUITE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298934",
            "telephone_number": "702-655-8535",
            "fax_number": "702-656-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "FRANK",
        "middle_name": "ROCKY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-22",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2690",
            "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 Jan 23, 2013; 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.