Active NPI
Salvatore A Biundo
- Geriatric Physical Therapist
- Las Vegas, NV
National Provider Identifier
1356967939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 4206
- Practice address
- 2860 E Cheyenne Ave
Las Vegas, NV 89121 - Phone
- (702) 644-7777
- NPI assigned
- Jun 19, 2020
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 4206 | NV | Primary |
Addresses
Primary practice location
2860 E Cheyenne Ave
Las Vegas, NV 89121
Mailing address
3213 W Charleston Blvd
Ste 105
Las Vegas, NV 89102-1991
Phone (702) 570-6222
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4206 | NV | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1356967939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3213 W CHARLESTON BLVD",
"address_2": "STE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021991",
"telephone_number": "702-570-6222",
"fax_number": "702-224-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 E CHEYENNE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89121",
"telephone_number": "702-644-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIUNDO",
"first_name": "SALVATORE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-19",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NV",
"license": "4206",
"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 Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.