Sally Basta, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2896 Issued in NV

Practice address

1 Breakthrough Way
Las Vegas, NV 89135-3011

Phone

(702) 732-1493

Fax

(702) 732-1080

NPI assigned

Oct 30, 2013

Last updated

Jan 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affiliated Physical Therapy

  • Physical Therapist
  • North Las Vegas, NV
  • NPI 1669607156
  NPD
• Peak Physical Therapy

  dba Galena Sport Physical Therapy

  • Physical Therapist
  • Reno, NV
  • NPI 1275667768
  NPD
• Mikla Dunning Physical Therapy Systems, PC

  dba KIME Performance

  • Physical Therapy Clinic/Center
  • El Dorado Hills, CA
  • NPI 1619334992
  NPD (past)

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1144658097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 W TROPICANA AVE # 156-252",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478465",
            "telephone_number": "702-732-1493",
            "fax_number": "702-732-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BREAKTHROUGH WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891353011",
            "telephone_number": "702-732-1493",
            "fax_number": "702-732-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTA",
        "first_name": "SALLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "8552041-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Bassett
• Nicole Lee Bassetti
• Hugh Lawrence Bassewitz, M.D.
• Vicenta Basso
• Bobbie Lindese Basson, RN, APRN, FNP
• Peyman Bastani, DMD
• Michelle Bastarache, NP
• Mary G Basteguian
• Leonard S. Basti
• Samra Bastian, LMFT

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.