Trevor John Pacuk, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4286 Issued in NV

Practice address

2930 W Horizon Ridge Pkwy Ste 205
Henderson, NV 89052-5062

Phone

(702) 294-7498

Fax

(702) 294-7495

NPI assigned

Jun 9, 2020

Last updated

Aug 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Nevada, Las Vegas School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Orthopaedic Center LTDGroup PAC ID 6406759661, 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Desert Orthopaedic Center, LTD.

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1548235302
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1316562085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50509",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160509",
            "telephone_number": "702-294-7498",
            "fax_number": "702-294-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W HORIZON RIDGE PKWY STE 205",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525062",
            "telephone_number": "702-294-7498",
            "fax_number": "702-294-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACUK",
        "first_name": "TREVOR",
        "middle_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Pacheco, APRN-BC
• Teresa M Pacheco
• Pacific Alliance
• Pacific Anesthesia Consultants & Hospitalists
• Pacifica Cottages LLC (Pacifica Senior Living Green Valley)
• John Earl Padgett, PA-C, PHD
• Matthew Padgett, PA-C
• Anthony Padilla, PA-C
• Amanda Page
• Andrew Page

• Physical Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.