Active NPI
Josephine Galan De Leon, PT
- Pediatric Physical Therapist
- Las Vegas, NV
National Provider Identifier
1215084843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 0343
- Practice address
- 505 E Windmill LN
#1 B-125
Las Vegas, NV 89123-1869 - Phone
- (702) 281-2552
- Fax
- (702) 361-7743
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 0343 | NV | Primary |
Addresses
Primary practice location
505 E Windmill LN
#1 B-125
Las Vegas, NV 89123-1869
Mailing address
505 E Windmill LN
#1 B-125
Las Vegas, NV 89123-1869
Phone (702) 281-2552
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215084843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E WINDMILL LN",
"address_2": "#1 B-125",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891231869",
"telephone_number": "702-281-2552",
"fax_number": "702-361-7743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E WINDMILL LN",
"address_2": "#1 B-125",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891231869",
"telephone_number": "702-281-2552",
"fax_number": "702-361-7743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "JOSEPHINE",
"middle_name": "GALAN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NV",
"license": "0343",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.