Active NPI
Michelle Friend Underwood, P.T.
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1275731572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1462
- Practice address
- 9730 W Tropicana Ave
Suite 120
Las Vegas, NV 89147-8457 - Phone
- (702) 501-1583
- Fax
- (702) 222-9971
- NPI assigned
- Jul 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1462 | NV | Primary |
Addresses
Primary practice location
9730 W Tropicana Ave
Suite 120
Las Vegas, NV 89147-8457
Mailing address
9730 W Tropicana Ave
Suite 120
Las Vegas, NV 89147-8457
Phone (702) 501-1583
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1462 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1275731572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9730 W TROPICANA AVE",
"address_2": "SUITE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478457",
"telephone_number": "702-501-1583",
"fax_number": "702-222-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 W TROPICANA AVE",
"address_2": "SUITE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478457",
"telephone_number": "702-501-1583",
"fax_number": "702-222-9971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "MICHELLE",
"middle_name": "FRIEND",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-07",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1462",
"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 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.