Individual provider Active NPI

Daniel Mario Antonino, PT,OCS

  • Orthopedic Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1275615916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0669 Issued in NV
Practice address
7955 W Sahara Ave
#103
Las Vegas, NV 89117-7910
Phone
(702) 233-3288
Fax
(702) 233-2369
NPI assigned
Oct 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 0669 NV Primary

Addresses

Primary practice location

7955 W Sahara Ave
#103
Las Vegas, NV 89117-7910

Mailing address

7955 W Sahara Ave
#103
Las Vegas, NV 89117-7910
Phone (702) 233-3288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091109000117 NV Practitioner - Physical Therapist in Private Practice 4587702741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel M Antonino Prof CorpGroup PAC ID 8325031172, 2 clinicians

Practice addresses (Care Compare)

7955 W Sahara Ave
Suite 103
Las Vegas, NV 89117-7910
Phone 70223332880

Merit-based Incentive Payment System (MIPS)

Final score
86.96 of 100Reported as individual
Quality
85
Improvement activities
40
Cost
76.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel M. Antonino Prof. Corp. Orthopedic CurrentSince Jun 13, 2001 Accepting new patients

Locations

7955 W Sahara Ave
Ste 103
Las Vegas, NV 89117
Phone (702) 233-3288

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275615916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 W SAHARA AVE",
            "address_2": "#103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177910",
            "telephone_number": "702-233-3288",
            "fax_number": "702-233-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 W SAHARA AVE",
            "address_2": "#103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177910",
            "telephone_number": "702-233-3288",
            "fax_number": "702-233-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONINO",
        "first_name": "DANIEL",
        "middle_name": "MARIO",
        "name_prefix": "Mr.",
        "credential": "PT,OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NV",
            "license": "0669",
            "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 Jul 8, 2007; 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.