Educated Athletics LTD.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EDUCATED ATHLETICS LTD.

Practice address

7044 Parrot Bay Way
Las Vegas, NV 89118-4748

Phone

(949) 701-6722

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Taylor Kucera, DPTNPI 1952770646

Title

Owner

Phone

(949) 701-6722

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor Kucera

  • Physical Therapist
  • North Las Vegas, NV
  • NPI 1952770646
  NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1134893142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7044 PARROT BAY WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184748",
            "telephone_number": "949-701-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7044 PARROT BAY WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891184748",
            "telephone_number": "949-701-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATED ATHLETICS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "KUCERA",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-701-6722",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Educare Community Living Corporation - Nevada
• Educare Community Living Corporation - Nevada
• Educare Community Living Corporation - Nevada
• Educare Community Living Corporation - Nevada
• Educare Community Living Corporation - Nevada
• Edward C Spoon Jr MD LTD
• Edward J Malik OD Chartered and Associates
• Edward K Tsai
• Edward Outlaw, MD, PC
• Edward S. Victoria, PLLC

• Physical Therapy Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapy Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.