Individual provider Active NPI

Quentin Forrest Pitts, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1356915508
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6373 Issued in NV
Practice address
9310 Sun City Blvd Ste 103
Las Vegas, NV 89134-1705
Phone
(725) 726-7847
Fax
(725) 726-7876
NPI assigned
May 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 6373 NV Primary

Addresses

Primary practice location

9310 Sun City Blvd Ste 103
Las Vegas, NV 89134-1705

Mailing address

9310 Sun City Blvd Ste 103
Las Vegas, NV 89134-1705
Phone (725) 726-7847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210630003515 VA Practitioner - Physical Therapist in Private Practice 4486053352 Reassigns benefits to 1 organization
I20240315002943 NV Practitioner - Physical Therapist in Private Practice 4486053352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smith Therapy PartnersGroup PAC ID 1052731072, 46 clinicians

Practice addresses (Care Compare)

9310 Sun City Blvd
Suite 103
Las Vegas, NV 89134-1705
Phone (725) 726-7847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6373NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Therapy Partners Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince May 1, 2021 Accepting new patients

Locations

727 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-4900

10040 Alta Dr
Ste 230
Las Vegas, NV 89145
Phone (725) 726-7947

9310 Sun City Blvd
Ste 103
Las Vegas, NV 89134
Phone (702) 207-1555

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.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1356915508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 SUN CITY BLVD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891341705",
            "telephone_number": "725-726-7847",
            "fax_number": "725-726-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 SUN CITY BLVD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891341705",
            "telephone_number": "725-726-7847",
            "fax_number": "725-726-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "QUENTIN",
        "middle_name": "FORREST",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6373",
            "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 Mar 14, 2024; 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.