Skyler Sudweeks, DPT
Individual provider Active NPI Physical Therapist · Las Vegas, NV
NPI 1205366135 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1205366135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3539 (NV)
- Practice address
- 821 N Nellis Blvd Ste 130
Las Vegas, NV 89110-5387 - Phone
- (702) 452-4563
- Fax
- (702) 452-6704
- NPI assigned
- Jun 13, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tru Physical Therapy Inc
Practice addresses (Care Compare)
70 E Horizon Ridge Pkwy
Suite 180
Henderson, NV 89002-7937
Phone (702) 856-0422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190110001253 | NV | Practitioner - Physical Therapist in Private Practice | 8527304617 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tru Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
Locations
300 S Racetrack Rd
Henderson, NV 89015
250 S Green Valley Pkwy
Henderson, NV 89012
Phone (702) 267-5800
70 E Horizon Ridge Pkwy
Ste 180
Henderson, NV 89002
Phone (702) 856-0422
3530 E Flamingo Rd
Ste 115
Las Vegas, NV 89121
Phone (702) 888-2686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3539 | NV | Yes |
Addresses
Primary practice location
821 N Nellis Blvd Ste 130
Las Vegas, NV 89110-5387
Mailing address
821 N Nellis Blvd Ste 130
Las Vegas, NV 89110-5387
Phone (702) 452-4563
Other providers in Las Vegas, NV
- William Sudduth
- Rachael Sudek
- Suditi
- Joseph Todd Sudjarit
- Matthew Sudo
- Sue & Associates, PC
- Sue & Associates, PC
- Sue & Associates, PC
- Yanet Sueiro Rodriguez
- Kevin Suelter
All providers in Las Vegas, NV · Physical Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.