Anthony Tabor, D.P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2709 Issued in NV

Practice address

6480 S Tenaya Way Ste 100
Las Vegas, NV 89113-6655

Phone

(702) 623-8555

Fax

(702) 623-8545

NPI assigned

Jan 15, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Origin Physical Therapy PLLCGroup PAC ID 5294131579, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Origin Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Las Vegas, NV
  • NPI 1790351088

  Orthopedic

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1194062877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032228",
            "telephone_number": "702-731-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 S TENAYA WAY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136655",
            "telephone_number": "702-623-8555",
            "fax_number": "702-623-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR",
        "first_name": "ANTHONY",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NV",
            "license": "2709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Johnson MFT, PLLC
• Rana Tablack
• Shellylin Tabladillo
• Julieta G Tablante-Blanco, MD
• Angela Laczell Tabor
• Lisa Katherine Tabor, APRN, ACNP-BC
• Camilo Bernal Tabora Jr., M.D.
• Loreta Tabrane
• Arthur Tabrizi
• Maryam Tabrizi, DMD-MPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.