Active NPI
Sofia Cruz
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1316555147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4294
- Practice address
- 6823 Ponderosa Way
Las Vegas, NV 89118-2100 - Phone
- (702) 338-2533
- Fax
- (702) 796-6310
- NPI assigned
- Jul 17, 2020
- 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 | 4294 | NV | Primary |
Addresses
Primary practice location
6823 Ponderosa Way
Las Vegas, NV 89118-2100
Mailing address
2445 Avenida Familia
Henderson, NV 89074-6322
Phone (702) 856-6789
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1316555147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2445 AVENIDA FAMILIA",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746322",
"telephone_number": "702-856-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6823 PONDEROSA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182100",
"telephone_number": "702-338-2533",
"fax_number": "702-796-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "SOFIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-17",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4294",
"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 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.