Colton Cardon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4365 Issued in NV

Practice address

600 S Tonopah Dr Ste 230
Las Vegas, NV 89106-4042

Phone

(801) 623-0596

NPI assigned

Aug 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lyons Physical Therapy LLCGroup PAC ID 2769789429, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lyons Physical Therapy LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1023496924
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1235742149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 SUNWARD DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147624",
            "telephone_number": "801-623-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S TONOPAH DR STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064042",
            "telephone_number": "801-623-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDON",
        "first_name": "COLTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPT LICENSE",
            "identifier": "4365",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiology Assoc. of Nevada (Heart Institute of Nevada)
• Cardiovascular and Thoracic Surgeons of Nevada LTD (CTS of Nevada)
• Cardiovascular Anesthesia Consultants
• Cardiovascular Surgery Associates
• Cardiovascular Therapeutics, LLC
• Sunny Cardon, SLP
• Elismay Cardona
• Jimena Cardona
• Yesenia I Cardona
• Gusmary Dela Caridad Cardoso Cardet

• 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 Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.