Active NPI
Dale Bartek, PT, DPT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1215469960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3511
- Practice address
- 9070 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129-8934 - Phone
- (702) 655-8535
- Fax
- (702) 656-5863
- NPI assigned
- Mar 31, 2017
- Sex
- Male
- 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 | 3511 | NV | Primary |
Addresses
Primary practice location
9070 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129-8934
Mailing address
9070 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129-8934
Phone (702) 655-8535
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3511 | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1215469960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9070 W CHEYENNE AVE",
"address_2": "STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891298934",
"telephone_number": "702-655-8535",
"fax_number": "702-656-5863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9070 W CHEYENNE AVE",
"address_2": "STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891298934",
"telephone_number": "702-655-8535",
"fax_number": "702-656-5863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTEK",
"first_name": "DALE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-31",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3511",
"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 Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.