Active NPI
Celeste Lacsamana
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1265024756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4249
- Practice address
- 6746 Bravura CT
Las Vegas, NV 89139-6763 - Phone
- (702) 883-2271
- NPI assigned
- Feb 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4249 | NV | Primary |
Addresses
Primary practice location
6746 Bravura CT
Las Vegas, NV 89139-6763
Mailing address
6746 Bravura CT
Las Vegas, NV 89139-6763
Phone (702) 883-2271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612569600000",
"number": "1265024756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6746 BRAVURA CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891396763",
"telephone_number": "702-883-2271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6746 BRAVURA CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891396763",
"telephone_number": "702-883-2271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACSAMANA",
"first_name": "CELESTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-06",
"last_updated": "2021-02-06",
"certification_date": "2021-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NV",
"license": "4249",
"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 Feb 6, 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.