Individual provider Active NPI

Javen A Miguel

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1134042138
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6930 S Cimarron Rd Ste 160
Las Vegas, NV 89113-2405
Phone
(702) 368-6778
Fax
(702) 685-7811
NPI assigned
Aug 4, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

6930 S Cimarron Rd Ste 160
Las Vegas, NV 89113-2405

Mailing address

5297 Tartan Hill Ave
Las Vegas, NV 89141-8605
Phone (702) 368-6778

Other practice location 1

2415 Reynolds Ave Ste 200
North Las Vegas, NV 89030-7279
Phone (702) 368-6778 ext. 4

Other practice location 2

3620 E Sunset Rd Ste 100
Las Vegas, NV 89120-7217
Phone (702) 368-6778 ext. 1

Other practice location 3

6200 N Durango Dr Ste 120
Las Vegas, NV 89149-3939
Phone (702) 368-6778 ext. 3

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edwin Suarez Physical Therapy, LLC Physical Therapist PastSince Jan 6, 2020 Accepting new patients

Organizations & group practices 1

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": "1785801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1134042138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5297 TARTAN HILL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418605",
            "telephone_number": "702-368-6778",
            "fax_number": "702-685-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 S CIMARRON RD STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132405",
            "telephone_number": "702-368-6778",
            "fax_number": "702-685-7811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 Reynolds Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890307279",
            "country_code": "US",
            "telephone_number": "702-368-6778 x4",
            "fax_number": "702-462-6513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 E Sunset Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891207217",
            "country_code": "US",
            "telephone_number": "702-368-6778 x1",
            "fax_number": "702-368-6775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 N Durango Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493939",
            "country_code": "US",
            "telephone_number": "702-368-6778 x3",
            "fax_number": "702-462-6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIGUEL",
        "first_name": "JAVEN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "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 Aug 4, 2026; 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.