Individual provider Active NPI

Vincent Anthony De Luna, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1154649309
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1860 Issued in NV
Practice address
2701 N Tenaya Way
Suite 290
Las Vegas, NV 89128-0478
Phone
(702) 869-4401
Fax
(702) 869-9904
NPI assigned
May 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 1860 NV Primary

Addresses

Primary practice location

2701 N Tenaya Way
Suite 290
Las Vegas, NV 89128-0478

Mailing address

2701 N Tenaya Way
Suite 290
Las Vegas, NV 89128-0478
Phone (702) 869-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220919002395 NV Practitioner - Physical Therapist in Private Practice 7719362342 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon Jackson P TGroup PAC ID 2961480363, 9 clinicians
Spring Mountain Rehab LLCGroup PAC ID 9638208630, 6 clinicians

Practice addresses (Care Compare)

4765 S Durango Dr
Suite 106
Las Vegas, NV 89147-8158
Phone (702) 898-7633

5155 S Durango Dr
Suite 101
Las Vegas, NV 89113-0174
Phone (702) 869-4401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1860NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation, LLC CurrentSince Aug 8, 2022 Accepting new patients
Brandon Jackson, P T Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Spring Mountain Rehab, LLC Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Brandon Jackson PT PastSince Feb 26, 2024 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

3175 Saint Rose Pkwy
Ste 331
Henderson, NV 89052
Phone (702) 314-4604

5515 S Durango Dr Ste 101
Las Vegas, NV 89113

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

2701 N Tenaya Way
Ste 290
Las Vegas, NV 89128
Phone (702) 420-2163

4765 S Durango Dr
Ste 106
Las Vegas, NV 89147
Phone (702) 898-7633

8551 W Lake Mead Blvd
Ste 170
Las Vegas, NV 89128
Phone (702) 363-9000

7730 W Cheyenne Ave
Ste 105
Las Vegas, NV 89129
Phone (702) 463-5556

5155 S Durango Dr
Ste 101
Las Vegas, NV 89113
Phone (702) 478-2424

Organizations & group practices 9

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1154649309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N TENAYA WAY",
            "address_2": "SUITE 290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280478",
            "telephone_number": "702-869-4401",
            "fax_number": "702-869-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N TENAYA WAY",
            "address_2": "SUITE 290",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280478",
            "telephone_number": "702-869-4401",
            "fax_number": "702-869-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LUNA",
        "first_name": "VINCENT ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1860",
            "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 Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.