Active NPI
Shenita Denise Haynes, DPT, CEEAA, CPC-I
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1336459833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3011
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CI5559 | NV | MD | Mental Health Counselor |
| 3011 | NV | MD | Physical Therapist |
| 62029858 | NY | MD | Physical Therapist |
| 029858 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Body and Health Awareness Haynes Physical Therapy | Mental Health | Current | 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.
-
dba Breakthrough Therapy PLLC
- Physical Therapist
- Henderson, NV
- NPI 1821590704
Mental Health
-
dba Breakthrough Therapy
- Physical Therapist
- Henderson, NV
- NPI 1215496450
Mental Health
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
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.