Michael Barretto, PTA
Individual provider Active NPI Physical Therapy Assistant · Las Vegas, NV
NPI 1306373576 · NPPES record last updated May 18, 2017
Key facts
- NPI
- 1306373576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A-0878 (NV)
- Practice address
- 6351 N Fort Apache Rd
Las Vegas, NV 89149-2300 - Phone
- (702) 515-3000
- NPI assigned
- May 18, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-0878 | NV | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A-0878 | NV | Yes |
Addresses
Primary practice location
6351 N Fort Apache Rd
Las Vegas, NV 89149-2300
Mailing address
1528 Pine Leaf Dr
Las Vegas, NV 89144-1661
Phone (702) 763-0402
NPI Registry JSON
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495065600000",
"number": "1306373576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 PINE LEAF DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891441661",
"telephone_number": "702-763-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6351 N FORT APACHE RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891492300",
"telephone_number": "702-515-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETTO",
"first_name": "MICHAEL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-18",
"last_updated": "2017-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NV",
"license": "A-0878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
- Taylor Burke Barrett
- Tiauna Barrett
- Tiffany Barrett
- Wayua Barrett
- Aida Kamlian Barretto
- Nina Barretto
- Juan Barrientos-Torres
- Ana Barrientos
- Annie Barrientos
- Janet Barrientos
All providers in Las Vegas, 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 May 18, 2017. 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.