Active NPI
Brandon Wade Godin, DPT
- Physical Therapist
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3155 W Craig Rd Ste 120-140
North Las Vegas, NV 89032-0782 - Phone
- (702) 639-2333
- Fax
- (702) 639-2334
- NPI assigned
- May 9, 2019
- Last updated
- May 9, 2019
- 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 | Primary |
Addresses
Primary practice location
3155 W Craig Rd Ste 120-140
North Las Vegas, NV 89032-0782
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 85.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4081 | NV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chynoweth Hill and Leavitt LLC | Physical Therapist | Current | Accepting new patients |
| New Century Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Chynoweth Hill and Leavitt LLC | Current | Accepting new patients | |
| New Century Rehabilitation, LLC | Current | 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
8975 S Pecos Rd
Ste 7A
Henderson, NV 89074
Phone (702) 456-2024
1950 E Desert Inn Rd
Las Vegas, NV 89169
Phone (702) 735-1501
2080 E Flamingo Rd
Ste 111
Las Vegas, NV 89119
Phone (702) 339-9668
305 N Nellis Blvd
Ste 135
Las Vegas, NV 89110
Phone (702) 438-3188
3233 W Charleston Blvd
Ste 107
Las Vegas, NV 89102
Phone (702) 258-9381
3233 W Charleston Blvd
Ste 207
Las Vegas, NV 89102
Phone (702) 522-1985
3831 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 876-1733
4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732
6830 W Oquendo Rd
Ste 101
Las Vegas, NV 89118
Phone (702) 258-3066
7060 N Durango Dr
Ste 130
Las Vegas, NV 89149
Phone (702) 826-5749
7125 Grand Montecito Pkwy
Ste 120
Las Vegas, NV 89149
Phone (702) 515-1540
8551 W Lake Mead Blvd
Ste 170
Las Vegas, NV 89128
Phone (702) 363-9000
8925 W Russell Rd
Ste 140
Las Vegas, NV 89148
Phone (702) 914-6787
2225 E Centennial Pkwy
Ste 106
North Las Vegas, NV 89081
Phone (702) 936-7165
3155 W Craig Rd
Ste 120
North Las Vegas, NV 89032
Phone (702) 639-2333
3155 W Craig Rd
Ste 120140
North Las Vegas, NV 89032
Phone (702) 639-2333
3155 W Craig Rd
Ste 140
North Las Vegas, NV 89032
Phone (702) 639-2333
3870 W Ann Rd
Ste 110
North Las Vegas, NV 89031
Phone (702) 396-7100
720 Robb Dr
Ste 103
Reno, NV 89523
Phone (775) 787-3733
Organizations & group practices 5
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.
-
dba Kelly Hawkins Physical Therapy Works
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1164415279
Physical Therapist
-
dba ATI Physical Therapy
- Physical Therapist
- Las Vegas, NV
- NPI 1396777892
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1780303727
-
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
- NPI 1801471628
-
dba Kelly Hawkins Physical Therapy Works
- Physical Therapist
- Pahrump, NV
- NPI 1700878444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1346805983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 W CRAIG RD STE 120-140",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890320782",
"telephone_number": "702-639-2333",
"fax_number": "702-639-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODIN",
"first_name": "BRANDON",
"middle_name": "WADE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.