Eric Michael Bashaw Jr., PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4553 Issued in NV

Practice address

9880 W Flamingo Rd Ste 260
Las Vegas, NV 89147-8085

Phone

(702) 680-0016

Fax

(702) 838-2999

NPI assigned

Jun 5, 2021

Last updated

Jun 5, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NV, OR2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of Nevada, Las Vegas School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nevada Luna Care Physical Therapy LLCGroup PAC ID 6901280510, 7 clinicians

Compass Physical Therapy LLCGroup PAC ID 8729213947, 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.

• Nevada Luna Care Physical Therapy LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1457087009
  Medicare reassignment Care Compare group NPD
• Compass Physical Therapy LLC

  • Physical Therapist
  • Bend, OR
  • NPI 1104125194
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1255908646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 W FLAMINGO RD STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478085",
            "telephone_number": "702-680-0016",
            "fax_number": "702-838-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 W FLAMINGO RD STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478085",
            "telephone_number": "702-680-0016",
            "fax_number": "702-838-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAW",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Bascom
• Julie Bascones, APRN, CPNP
• Baseline Nutrition & Wellness, LLC
• Myrna Basham
• Nazanin Basharzad, RBT
• Beatrice Bashibyukyan
• Bashir a Chowdhry Cardiac & Thoracic Surgeons of Nevada PC (Cardiac & Thoracic Surgeons)
• Bashir Azher Medical Associates PC (Arizona Pulmonary Associates)
• Bashir Q Rashid MD PC
• Majid Hajizadeh Bashy, M.D.

• 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 Jun 5, 2021; 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.