Shelly Paige Santoro, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1636 Issued in NV

Practice address

8020 W Sahara Ave Ste 160
Las Vegas, NV 89117-7917

Phone

(702) 595-5437

NPI assigned

Jan 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Shelly Paige Olivadoti-Santoro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1215907241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12056 ALZINA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381100",
            "telephone_number": "702-406-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 W SAHARA AVE STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177917",
            "telephone_number": "702-595-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "SHELLY",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003402011",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "OLIVADOTI-SANTORO",
            "middle_name": "PAIGE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dusty Marie Santman, PTA
• Antonio Santo, PH.D., R.D.N.
• Jerri Santo
• James Santora
• Patrick Davis Santoro, OT
• Santos Interventional Pain Medicine
• Santos Interventional Pain Medicine P.C.
• Santos Interventional Pain Medicine P.C.
• Santos Interventional Pain Medicine P.C.
• Maria Ramona Santos Inzunza

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.