Active NPI
Jena M Espinosa, DPT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1174886543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1631
- Practice address
- 11091 Kilkerran CT
Las Vegas, NV 89141-4356 - Phone
- (702) 381-1839
- Fax
- (701) 751-1657
- NPI assigned
- Jun 20, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 1631 | ND | Primary |
Addresses
Primary practice location
11091 Kilkerran CT
Las Vegas, NV 89141-4356
Mailing address
11091 Kilkerran CT
Las Vegas, NV 89141-4356
Phone (702) 381-1839
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1174886543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11091 KILKERRAN CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891414356",
"telephone_number": "702-381-1839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11091 KILKERRAN CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891414356",
"telephone_number": "702-381-1839",
"fax_number": "701-751-1657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOSA",
"first_name": "JENA",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2022-10-17",
"certification_date": "2022-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1631",
"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 Oct 17, 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.