Individual provider Active NPI

Brandon Wade Godin, DPT

  • Physical Therapist
  • North Las Vegas, NV
National Provider Identifier
1346805983
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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 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

Enrollment IDStateProvider typePAC IDDetails
I20190918001633 NV Practitioner - Physical Therapist in Private Practice 8224368287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
85
Improvement activities
40
Cost
85.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4081NVMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chynoweth Hill and Leavitt LLC Physical Therapist Current Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Aug 2, 2019 Accepting new patients
Chynoweth Hill and Leavitt LLC CurrentSince Nov 4, 2024 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Aug 2, 2019 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.

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.

Verify at the official NPI Registry.