Individual provider Active NPI

Karissa Danielle Gribbin, PT, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1255877924
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4935 Issued in NV
Practice address
6785 W Russell Rd Ste 110
Las Vegas, NV 89118-1862
Phone
(702) 818-5000
Fax
(702) 818-5001
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0506298 NV
Physical Therapist 225100000X 4935 NV Primary

Addresses

Primary practice location

6785 W Russell Rd Ste 110
Las Vegas, NV 89118-1862

Mailing address

9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone (702) 818-5000

Other practice location 1

460 N Arroyo Grande Blvd
Henderson, NV 89014-3900
Phone (702) 799-0950 ext. 4121

Other practice location 2

3101 W Charleston Blvd
Las Vegas, NV 89102-1931
Phone (702) 831-6670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318001577 NV Practitioner - Physical Therapist in Private Practice 6406378652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Fyzical LLCGroup PAC ID 4880820844, 30 clinicians

Practice addresses (Care Compare)

6785 W Russell Rd
Suite 110
Las Vegas, NV 89118-1862
Phone (702) 818-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0506298NVMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Las Fyzical LLC Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Children'S Bone and Spine Surgery, LLP Physical Therapy Past Accepting new patients

Locations

9070 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 268-7213

401 N Buffalo Dr
Ste 120
Las Vegas, NV 89145
Phone (702) 341-0606

6785 W Russell Rd
Ste 110
Las Vegas, NV 89118

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1255877924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 W CHEYENNE AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298935",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6785 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181862",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 N Arroyo Grande Blvd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890143900",
            "country_code": "US",
            "telephone_number": "702-799-0950 x4121",
            "fax_number": "702-799-0717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021931",
            "country_code": "US",
            "telephone_number": "702-831-6670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIBBIN",
        "first_name": "KARISSA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506298",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.