Unlv-Usc LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

UNLV-USC LLC

Doing business as

ActiveRX

Practice address

9310 Sun City Blvd
Suite 103
Las Vegas, NV 89134-1705

Phone

(702) 982-0079

NPI assigned

Sep 22, 2015

Last updated

Nov 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Franchesta Marbury-Hammonds

Title

Owner

Phone

(702) 743-3726

Specialties & licenses 1

Addresses

Other names 1

• ActiveRX Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David J Camp, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1356350334
  NPD (past)
• Lesley Ruiz, PT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1033004486
  NPD (past)
• Michael Sideco, MPT, CDN, SMTC

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1871139642
  NPD (past)

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1154790012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 SUN CITY BLVD",
            "address_2": "SUITE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891341705",
            "telephone_number": "702-982-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 SUN CITY BLVD",
            "address_2": "SUITE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891341705",
            "telephone_number": "702-982-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLV-USC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "MARBURY-HAMMONDS",
        "authorized_official_first_name": "FRANCHESTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-743-3726"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActiveRX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Unlv Medicine
• Unlv Medicine
• Unlv Medicine
• Unlv Orthodontics
• Unlv Student Health Pharmacy
• Navneetha Unnikrishnan, M.D
• Unparalleled Therapy LLC
• Aubree Nicole Unruh
• Gina Unser
• Unsom Multispeciality Group Practice South, Inc (MedSchool Associates South)

• 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 Nov 9, 2015; 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.