Active NPI
Nerissa Tempora Castellano Borromeo, DPT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1144096280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5055
- Practice address
- 10272 Montes Vascos Dr
Las Vegas, NV 89178-8451 - Phone
- (207) 762-1123
- NPI assigned
- Nov 29, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5055 | NV | Primary |
Addresses
Primary practice location
10272 Montes Vascos Dr
Las Vegas, NV 89178-8451
Mailing address
10272 Montes Vascos Dr
Las Vegas, NV 89178-8451
Phone (207) 762-1123
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5055 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1144096280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10272 MONTES VASCOS DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891788451",
"telephone_number": "207-762-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10272 MONTES VASCOS DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891788451",
"telephone_number": "207-762-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORROMEO",
"first_name": "NERISSA TEMPORA",
"middle_name": "CASTELLANO",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "5055",
"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 Nov 29, 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.