Southern Hills Pelvic and Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTHERN HILLS PELVIC AND PHYSICAL THERAPY PLLC

Practice address

5775 S Fort Apache Rd Ste 120
Las Vegas, NV 89148-5627

Phone

(702) 331-1654

NPI assigned

Dec 30, 2020

Organization subpart

No

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

Authorized official

Name

Shoshana IzkhakovNPI 1679891857

Title

Owner, Clinic Director

Phone

(631) 388-8716

Specialties & licenses 1

Addresses

Other names 1

• Summerlin Pelvic and Physical Therapy LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shoshana Izkhakov, DPT

  • Physical Therapist
  • East Amherst, NY
  • NPI 1679891857
  NPD Authorized official

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1255928693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 DEL WEBB BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348314",
            "telephone_number": "702-331-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 S FORT APACHE RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485627",
            "telephone_number": "702-331-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HILLS PELVIC AND PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "IZKHAKOV",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "OWNER, CLINIC DIRECTOR",
        "authorized_official_telephone_number": "631-388-8716"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerlin Pelvic and Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summerlin Pelvic and Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Hills Medical Center, LLC
• Southern Hills Medical Center, LLC
• Southern Hills Medical Center, LLC
• Southern Hills Medical Center, LLC
• Southern Hills Orthodontics, Inc.
• Southern Hills Women'S Health
• Southern Nevada Addiction Partners, PLLC
• Southern Nevada Adult Mental Health
• Southern Nevada Adult Mental Health
• Southern Nevada Adult Mental Health

• 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 Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.