Gabriel A Fernandez, PTA
Individual provider Active NPI Physical Therapy Assistant · Laughlin, NV
NPI 1295692135 · NPPES record last updated Jan 5, 2026
Key facts
- NPI
- 1295692135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA-010808
- Practice address
- 3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815 - Phone
- (702) 868-1400
- NPI assigned
- Jan 5, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon Nevada LLC | Past |
Accepting new patients | |
| Canyon Nevada LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-010808 | Yes |
Addresses
Primary practice location
3100 S Needles Hwy Ste 500
Laughlin, NV 89029-0815
Mailing address
746 E Winchester St Ste 200
Murray, UT 84107-8513
Phone (801) 485-6166
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All providers in Laughlin, NV · Physical Therapy Assistant in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.