Des-Rehab Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5908 Issued in NV

Legal business name

DES-REHAB INC

Practice address

3201 S Maryland Pkwy
Suite 218
Las Vegas, NV 89109-2441

Phone

(702) 893-0800

Fax

(702) 893-0109

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Samuel A Wise, M.D.NPI 1851441216

Title

Physician

Phone

(702) 893-0800

Specialties & licenses 2

Addresses

Other names 1

• Desert Rehabilitation Doing business as

Practitioners 1

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

• Samuel A. Wise, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1851441216
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1235289653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY",
            "address_2": "SUITE 218",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092441",
            "telephone_number": "702-893-0800",
            "fax_number": "702-893-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY",
            "address_2": "SUITE 218",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092441",
            "telephone_number": "702-893-0800",
            "fax_number": "702-893-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES-REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-893-0800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "6244",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "5908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aimee Michelle Derrico
• Stephen Derringer
• Jason A Derryberry, MSPT
• Kha-Shan Deruso
• Natasha Dery
• Jyoti V. Desai, M.D.
• Sudhaben Desai
• Tejus Desai
• Jasmine Matias Desamito
• Celeste Desantis

• Physical Medicine & Rehabilitation Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Medicine & Rehabilitation Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.