Individual provider Active NPI

Patrick Allen Viado, PTA

  • Physical Therapy Assistant
  • Las Vegas, NV
National Provider Identifier
1346994738
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A1396 Issued in NV
Practice address
6823 Ponderosa Way
Las Vegas, NV 89118-2100
Phone
(702) 665-4054
NPI assigned
Feb 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A1396 NV Primary

Addresses

Primary practice location

6823 Ponderosa Way
Las Vegas, NV 89118-2100

Mailing address

8354 Stillhouse CT
Las Vegas, NV 89113-4674
Phone (702) 994-6008

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A1396NVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prism PT LLC CurrentSince Feb 13, 2022 Accepting new patients

Locations

6823 Ponderosa Way
Las Vegas, NV 89118
Phone (702) 338-2533

Organizations & group practices 1

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": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1346994738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8354 STILLHOUSE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134674",
            "telephone_number": "702-994-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 PONDEROSA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182100",
            "telephone_number": "702-665-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIADO",
        "first_name": "PATRICK",
        "middle_name": "ALLEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A1396",
            "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 Feb 5, 2022; 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.