Mimcr

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1594 Issued in NV

Legal business name

MIMCR

Practice address

800 N Rainbow Blvd Ste 208
Las Vegas, NV 89107-1193

Phone

(702) 235-5191

Fax

(702) 472-8730

NPI assigned

Dec 31, 2013

Organization subpart

No

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

Authorized official

Name

Matthew Thomas

Title

President

Phone

(702) 235-5191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1225459746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071193",
            "telephone_number": "702-235-5191",
            "fax_number": "702-472-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071193",
            "telephone_number": "702-235-5191",
            "fax_number": "702-472-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMCR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-235-5191"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Milton
• Cierra Milton
• Janice Milton
• Kathleen Denise Milton
• Latoya Milton
• Mimi'S Care Home, LLC
• Eniko Mimless
• Antoinette Mims, CHW
• Austin Mims
• Charlene Mims

• 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 Dec 31, 2013; 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.