Individual provider Active NPI

Rachel Victoria Zatkovich, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1275885550
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3086 Issued in NV
Practice address
2930 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-5058
Phone
(702) 294-7498
NPI assigned
Oct 10, 2012
Last updated
Oct 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3086 NV Primary
Physical Therapist 225100000X 60295390 WA

Addresses

Primary practice location

2930 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-5058

Mailing address

2930 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-5058
Phone (702) 294-7498

Other names 1

  • Rachel Victoria Mullis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150323001123 NV Practitioner - Physical Therapist in Private Practice 8527209170 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Z-Hab Rehab and Performance LLCGroup PAC ID 0042652331, 2 clinicians

Practice addresses (Care Compare)

2974 Tara Murphy Dr
Henderson, NV 89044-1518
Phone (253) 224-6292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60295390WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 4, 2022 Accepting new patients
Desert Orthopaedic Center, LTD. CurrentSince Feb 2, 2015 Accepting new patients
Z-Hab Rehab and Performance LLC Physical Therapist CurrentSince Apr 17, 2024 Accepting new patients
One to One Physical Therapy PLLC Physical Therapist PastSince Feb 3, 2014 Accepting new patients

Locations

2930 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 263-9082

670 S Green Valley Pkwy
Ste 145
Henderson, NV 89052
Phone (702) 381-2525

2800 E Desert Inn Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 294-7499

5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964

5955 Edmond St
Las Vegas, NV 89118
Phone (702) 276-7655

Organizations & group practices 4

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": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1275885550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525058",
            "telephone_number": "702-294-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525058",
            "telephone_number": "702-294-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATKOVICH",
        "first_name": "RACHEL",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3086",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60295390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MULLIS",
            "middle_name": "VICTORIA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.