Individual provider Active NPI

Adam Lee Mast, PT, MPT, OCS

  • Orthopedic Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1295786531
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3902 Issued in NV
Practice address
10630 Dean Martin Dr Ste 120
Las Vegas, NV 89141-3595
Phone
(725) 254-1330
Fax
(725) 254-1331
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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 3902 NV Primary

Addresses

Primary practice location

10630 Dean Martin Dr Ste 120
Las Vegas, NV 89141-3595

Mailing address

10630 Dean Martin Dr Ste 120
Las Vegas, NV 89141-3595
Phone (725) 254-1330

Other identifiers 2

IdentifierTypeStateIssuer
250003652MedicaidNV
200671190MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190301000824 NV Practitioner - Physical Therapist in Private Practice 4486828647 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3902NVMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation, LLC CurrentSince Aug 11, 2021 Accepting new patients
Dignity Select Nevada LLC Orthopedic Current Accepting new patients
Dignity Select Nevada, LLC CurrentSince Jan 24, 2022 Accepting new patients
Dignity Select Nevada LLC CurrentSince Jan 24, 2022 Accepting new patients
New Century Rehabilitation LLC CurrentSince Aug 11, 2021 Accepting new patients
Orthopaedic and Neurological Rehab Inc Orthopedic CurrentSince Apr 1, 2021 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Apr 1, 2021 Accepting new patients
Regional Sport and Spine Chiropractic PC Past Accepting new patients

Locations (25 of 26)

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

3175 Saint Rose Pkwy
Ste 331
Henderson, NV 89052
Phone (702) 314-4604

2904 W Horizon Ridge Pkwy
Ste 121
Henderson, NV 89052
Phone (702) 897-7331

2651 Paseo Verde Pkwy
Ste 170
Henderson, NV 89074
Phone (702) 312-4878

2850 W Horizon Ridge Pkwy
Ste 320
Henderson, NV 89052
Phone (702) 564-4116

400 N Stephanie St
Ste 310
Henderson, NV 89014
Phone (702) 360-9142

1395 Raiders Way
Ste 140
Henderson, NV 89052
Phone (725) 241-6800

555 College Dr
Ste C
Henderson, NV 89015
Phone (725) 254-1251

8374 W Capovilla Ave
Las Vegas, NV 89113
Phone (702) 222-3600

8675 W Rome Blvd
Ste 140
Las Vegas, NV 89149
Phone (725) 206-7929

4980 W Sahara Ave
Ste 260
Las Vegas, NV 89146
Phone (702) 240-2952

2110 E Flamingo Rd
Ste 314
Las Vegas, NV 89119
Phone (702) 813-1237

4855 Blue Diamond Rd
Ste 210
Las Vegas, NV 89139
Phone (725) 207-3770

10630 Dean Martin Dr
Ste 120
Las Vegas, NV 89141
Phone (725) 254-1330

1776 E Warm Springs Rd
Ste 106
Las Vegas, NV 89119
Phone (702) 603-4110

821 N Nellis Blvd
Ste 130
Las Vegas, NV 89110
Phone (702) 227-4447

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

8740 W Charleston Blvd
Ste 12
Las Vegas, NV 89117
Phone (725) 257-6560

9880 W Flamingo Rd
Ste 260
Las Vegas, NV 89147
Phone (702) 360-9142

6048 S Durango Dr
Ste 100
Las Vegas, NV 89113
Phone (702) 260-6238

2650 N Tenaya Way
Ste 180
Las Vegas, NV 89128
Phone (702) 240-2952

1550 W Craig Rd
Ste 210
North Las Vegas, NV 89032
Phone (702) 343-0623

2550 Nature Park Dr
Ste 250
North Las Vegas, NV 89084
Phone (702) 524-8555

5255 Kietzke Ln
Reno, NV 89511

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1295786531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 DEAN MARTIN DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413595",
            "telephone_number": "725-254-1330",
            "fax_number": "725-254-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 DEAN MARTIN DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413595",
            "telephone_number": "725-254-1330",
            "fax_number": "725-254-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PT, MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NV",
            "license": "3902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250003652",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200671190",
            "state": "IN"
        }
    ],
    "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 Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.