Individual provider Active NPI

Shenita Denise Haynes, DPT, CEEAA, CPC-I

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1336459833
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3011 Issued in NV
Practice address
6625 W Sahara Ave Ste 8
Las Vegas, NV 89146-2901
Phone
(725) 230-8526
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CI5559 NV
Physical Therapist 225100000X 62029858 NY
Physical Therapist 225100000X 3011 NV Primary

Addresses

Primary practice location

6625 W Sahara Ave Ste 8
Las Vegas, NV 89146-2901

Mailing address

195 Cadenza Vista PL
Henderson, NV 89015-5448
Phone (702) 831-8076

Other practice location 1

730 W Kathryn Ave
Pahrump, NV 89060-1759
Phone (702) 831-8076

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

LicenseStateTypeSpecialty
CI5559NVMDMental Health Counselor
3011NVMDPhysical Therapist
62029858NYMDPhysical Therapist
029858NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Body and Health Awareness Haynes Physical Therapy Mental Health CurrentSince Aug 23, 2020 Accepting new patients
Lifetime Body and Health Awareness Physical Therapy PLLC Mental Health Current Accepting new patients
Genesis Medical Health PC Past Accepting new patients

Locations

5516 Boulder Hwy
Ste 2F
Las Vegas, NV 89122
Phone (702) 834-0021

Organizations & group practices 3

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": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1336459833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 CADENZA VISTA PL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155448",
            "telephone_number": "702-831-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 W SAHARA AVE STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462901",
            "telephone_number": "725-230-8526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 W Kathryn Ave",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890601759",
            "country_code": "US",
            "telephone_number": "702-831-8076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "SHENITA",
        "middle_name": "DENISE",
        "credential": "DPT, CEEAA, CPC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI5559",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62029858",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3011",
            "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 Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.