Individual provider Active NPI

Nancy Lynne Deviese, P.T.

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1336285253
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1615 Issued in NV
Practice address
9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone
(702) 818-5000
Fax
(701) 818-5001
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1615 NV Primary

Addresses

Primary practice location

9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935

Mailing address

3213 Crested Moss Ave
North Las Vegas, NV 89081-6450
Phone (702) 533-4084

Other practice location 1

1590 W Sunset Rd Ste 110
Henderson, NV 89014-6633
Phone (702) 818-5000

Other practice location 2

9005 S Pecos Rd Ste 2520
Henderson, NV 89074-7191
Phone (702) 818-5000

Other practice location 3

6785 W Russell Rd Ste 110
Las Vegas, NV 89118-1862
Phone (702) 818-5000

Other practice location 4

100 N Green Valley Pkwy Ste 335
Henderson, NV 89074-7704
Phone (702) 800-8988

Other practice location 5

5550 Painted Mirage Rd Ste 120
Las Vegas, NV 89149-4582
Phone (702) 800-8988

Other practice location 6

4765 S Durango Dr Ste 106
Las Vegas, NV 89147-8158
Phone (702) 800-8988

Other practice location 7

401 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0397
Phone (702) 818-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070307000235 NV Practitioner - Physical Therapist in Private Practice 9638272966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premere Rehab LLCGroup PAC ID 2567434764, 12 clinicians

Practice addresses (Care Compare)

10401 W Charleston Blvd
Las Vegas, NV 89135-1151
Phone (702) 207-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation, LLC CurrentSince Nov 16, 2020 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Nov 16, 2020 Accepting new patients
Premere Rehab LLC Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
Premere Rehab LLC Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
Brandon Jackson PT PastSince Sep 1, 2021 Accepting new patients
Orthopedics & Sports Medicine LLC Physical Therapist Past Accepting new patients
Orthopedics & Sports Medicine LLC Past Accepting new patients
Chynoweth Hill and Leavitt LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

8551 W Lake Mead Blvd
Ste 170
Las Vegas, NV 89128
Phone (702) 363-9000

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

8100 SW Nyberg St
Ste 200
Tualatin, OR 97062
Phone (503) 570-3365

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1336285253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 CRESTED MOSS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816450",
            "telephone_number": "702-533-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 W CHEYENNE AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298935",
            "telephone_number": "702-818-5000",
            "fax_number": "701-818-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1590 W Sunset Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890146633",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9005 S Pecos Rd Ste 2520",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890747191",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6785 W Russell Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891181862",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Green Valley Pkwy Ste 335",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890747704",
            "country_code": "US",
            "telephone_number": "702-800-8988",
            "fax_number": "702-800-8998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5550 Painted Mirage Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494582",
            "country_code": "US",
            "telephone_number": "702-800-8988",
            "fax_number": "702-800-8998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4765 S Durango Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891478158",
            "country_code": "US",
            "telephone_number": "702-800-8988",
            "fax_number": "702-800-8998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Buffalo Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891450397",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVIESE",
        "first_name": "NANCY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1615",
            "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 Jan 9, 2023; 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.