Summerlin Pelvic and Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUMMERLIN PELVIC AND PHYSICAL THERAPY LLC

Practice address

9414 Del Webb Blvd
Las Vegas, NV 89134-8314

Phone

(702) 331-1654

NPI assigned

Jan 17, 2019

Last updated

Jan 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shoshana Izkhakov, PT, DPT, OCSNPI 1679891857

Title

Clinical Director

Phone

(702) 331-1654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shoshana Izkhakov, DPT

  • Physical Therapist
  • East Amherst, NY
  • NPI 1679891857

  NV

  Medicare reassignment Care Compare group NPD Authorized official
• Savannah Jade Rapp Morgan, DPT

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1891476628
  Medicare reassignment Care Compare group
• Hannah Shields, DPT

  • Physical Medicine & Rehabilitation Physician
  • Las Vegas, NV
  • NPI 1184448508
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1356815716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 DEL WEBB BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348314",
            "telephone_number": "702-331-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 DEL WEBB BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348314",
            "telephone_number": "702-331-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLIN PELVIC AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "IZKHAKOV",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "702-331-1654",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summerlin Hospital Medical Center L L C (Summerlin Hospital Medical Center)
• Summerlin Hospital Medical Center L L C (Summerlin Hospital Medical Center)
• Summerlin Hospital Medical Center L L C (ER at South Summerlin, Extension of Summerlin Hospital)
• Summerlin Massagenv, LLC
• Summerlin Medical
• Summerlin Psychology LLC
• Summerlin Smiles
• Summerlin Surgical Associates
• Summerlin Therapy & Couples Counseling
• Summerlin Vision Center Inc

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.