Individual provider Active NPI

Terence Dustin M. Enriquez, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1245006931
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6315 Issued in NV
Practice address
3041 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89052-4445
Phone
(702) 565-6565
Fax
(702) 565-8898
NPI assigned
Dec 4, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6315 NV Primary

Addresses

Primary practice location

3041 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89052-4445

Mailing address

3041 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89052-4445
Phone (702) 565-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231222001341 NV Practitioner - Physical Therapist in Private Practice 1254781875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.43 of 100Reported as group
Quality
55.74
Promoting interoperability
94
Improvement activities
40
Cost
67.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6315NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Institute of Henderson LLP CurrentSince Dec 11, 2023 Accepting new patients

Locations

10561 Jeffreys St
Ste 230
Henderson, NV 89052
Phone (702) 565-6565

3041 W Horizon Ridge Pkwy
Ste 140
Henderson, NV 89052
Phone (702) 251-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22165/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1245006931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 W HORIZON RIDGE PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524445",
            "telephone_number": "702-565-6565",
            "fax_number": "702-565-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 W HORIZON RIDGE PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524445",
            "telephone_number": "702-565-6565",
            "fax_number": "702-565-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "TERENCE",
        "middle_name": "DUSTIN M.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.