Active NPI
Jesus Enrique Garcia Camacho, DPT
- Orthopedic Physical Therapist
- Las Vegas, NV
National Provider Identifier
1124506282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 3746
- Practice address
- 9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935 - Phone
- (702) 818-5000
- NPI assigned
- Aug 1, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 3746 | NV | Primary |
Addresses
Primary practice location
9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Mailing address
9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone (702) 818-5000
Other practice location 1
400 N Stephanie St.
suite 310
Henderson, NV 89014-6608
Phone (702) 454-1162
Other practice location 2
1817 Escondido Ter
Henderson, NV 89074-5208
Phone (608) 333-9116
Other practice location 3
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1124506282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9070 W CHEYENNE AVE STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891298935",
"telephone_number": "702-818-5000",
"fax_number": "702-818-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9070 W CHEYENNE AVE STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891298935",
"telephone_number": "702-818-5000"
}
],
"practiceLocations": [
{
"address_1": "400 N Stephanie St.",
"address_2": "suite 310",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890146608",
"country_code": "US",
"telephone_number": "702-454-1162",
"fax_number": "702-454-8817",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1817 Escondido Ter",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890745208",
"country_code": "US",
"telephone_number": "608-333-9116",
"country_name": "United States",
"address_type": "DOM"
},
{
"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": "GARCIA CAMACHO",
"first_name": "JESUS",
"middle_name": "ENRIQUE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-01",
"last_updated": "2021-03-23",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NV",
"license": "3746",
"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 Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.