Active NPI
Adam Garrett Cleaver, DPT
- Physical Therapist
- Henderson, NV
National Provider Identifier
1316998552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1832
- Practice address
- 750 Coronado Center Dr
#140
Henderson, NV 89052-5034 - Phone
- (702) 312-4878
- Fax
- (702) 312-4886
- NPI assigned
- May 12, 2006
- Sex
- Male
- 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 | 1832 | NV | Primary |
Addresses
Primary practice location
750 Coronado Center Dr
#140
Henderson, NV 89052-5034
Mailing address
70 E Horizon Ridge Pkwy
#180
Henderson, NV 89015-7935
Phone (702) 856-0422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100503654 | Medicaid | NV |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1832 | NV | MD | Physical Therapist |
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": "1415059200000",
"number": "1316998552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 E HORIZON RIDGE PKWY",
"address_2": "#180",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157935",
"telephone_number": "702-856-0422",
"fax_number": "702-433-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 CORONADO CENTER DR",
"address_2": "#140",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525034",
"telephone_number": "702-312-4878",
"fax_number": "702-312-4886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEAVER",
"first_name": "ADAM",
"middle_name": "GARRETT",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100503654",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.