Las Vegas Bodyworks LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1308 Issued in NM

Legal business name

LAS VEGAS BODYWORKS LLC

Practice address

508 University Ave
Las Vegas, NM 87701-4349

Phone

(505) 454-0443

Fax

(505) 454-0498

NPI assigned

Mar 25, 2008

Last updated

Jun 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Randy Masao Nakasone, PTNPI 1366512691

Title

Physical Therapist

Phone

(505) 454-0443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randy Masao Nakasone, PT

  • Specialist
  • Las Vegas, NM
  • NPI 1366512691
  Medicare reassignment NPD Authorized official
• Brandy A Benton, DPT

  • Physical Therapist
  • Las Vegas, NM
  • NPI 1720496474
  Medicare reassignment

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1255503736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 UNIVERSITY AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014349",
            "telephone_number": "505-454-0443",
            "fax_number": "505-454-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UNIVERSITY AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014349",
            "telephone_number": "505-454-0443",
            "fax_number": "505-454-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS BODYWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "NAKASONE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MASAO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "505-454-0443",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Kuiper, CHW
• James Kuzava, LISW
• Louise M La Plante, LISW
• La Vida Buena Healthcare LLC
• Joann Laferrier, LPCC
• Las Vegas City Schools
• Las Vegas Clinic for Children & Youth
• Las Vegas Foot Specialist, Inc
• Las Vegas Physical Therapy LLC
• Las Vegas Primary Care, Inc

• Physical Therapist in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.