Organization Active NPI

Paragon of Summerlin LLC

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1174844179
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PARAGON OF SUMMERLIN LLC
Practice address
7324 W. Cheyenne Ave
Suite 7
Las Vegas, NV 89129-7426
Phone
(702) 214-6665
Fax
(702) 214-6865
NPI assigned
Jun 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Shaun E. Yates
Title
Managing Partner
Phone
(702) 214-6665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X NV Primary
Pulmonary Rehabilitation Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278P1005X NV

Addresses

Primary practice location

7324 W. Cheyenne Ave
Suite 7
Las Vegas, NV 89129-7426

Mailing address

7324 W. Cheyenne Ave
Suite 7
Las Vegas, NV 89129-7426
Phone (702) 214-6665

National Provider Directory

National Provider Directory

Locations

1655 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89012
Phone (702) 914-2790

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174844179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 W. CHEYENNE AVE",
            "address_2": "SUITE 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297426",
            "telephone_number": "702-214-6665",
            "fax_number": "702-214-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 W. CHEYENNE AVE",
            "address_2": "SUITE 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297426",
            "telephone_number": "702-214-6665",
            "fax_number": "702-214-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON OF SUMMERLIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-214-6665"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 21, 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.