Physiotherapy Associates Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PHYSIOTHERAPY ASSOCIATES INC

Doing business as

Select Physical Therapy

Practice address

750 Coronado Center Dr
Suite 140
Henderson, NV 89052-5034

Phone

(702) 312-4878

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Michael E. Tarvin

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Select Physical Therapy Doing business as

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deepa Champsi, OTR/L

  • Pediatric Occupational Therapist
  • Henderson, NV
  • NPI 1386951721
  NPD (past)
• Kristen M Groot, DPT

  • Physical Therapist
  • Henderson, NV
  • NPI 1962647461
  NPD (past)
• Jamie Pero, OTR/L

  • Pediatric Occupational Therapist
  • Henderson, NV
  • NPI 1114233087
  NPD (past)
• Korina Scott

  • Pediatric Physical Therapist
  • Las Vegas, NV
  • NPI 1043344161
  NPD (past)
• Frank A Sestito, P.T

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1083874747
  NPD (past)
• Jeremy Thompson, P.T,

  • Pediatric Occupational Therapist
  • Henderson, NV
  • NPI 1679806608
  NPD (past)
• Marifloyd Wright, S.T.

  • Speech-Language Pathologist
  • Henderson, NV
  • NPI 1114250164
  NPD (past)
• Michael R. Gill, P.T.

  • Physical Therapist
  • Portland, OR
  • NPI 1639325327
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1225041130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CORONADO CENTER DR",
            "address_2": "SUITE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525034",
            "telephone_number": "702-312-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503744",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK7516",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507555",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502938",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physician Associates of Nevada LTD
• Physician Management Services of Nevada II, LLC
• Physician Revenue Associates LLC
• Physicians to Home LLC
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates, Inc.
• Roberta Lynn Piatak
• Jeanie Piazza
• Isaiah Picazo

• Rehabilitation Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Rehabilitation Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.