Individual provider Active NPI

Melvin Luistro Magsino, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1366076440
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4202 Issued in NV
Practice address
8205 W Warm Springs Rd Ste 250
Las Vegas, NV 89113-3646
Phone
(702) 227-2152
Fax
(702) 252-0369
NPI assigned
Feb 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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 4202 NV Primary

Addresses

Primary practice location

8205 W Warm Springs Rd Ste 250
Las Vegas, NV 89113-3646

Mailing address

8205 W Warm Springs Rd Ste 250
Las Vegas, NV 89113-3646
Phone (702) 227-2152

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

LicenseStateTypeSpecialty
4202NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Orthopaedic Center, LTD. CurrentSince Aug 17, 2020 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

3233 W Charleston Blvd
Ste 107
Las Vegas, NV 89102
Phone (702) 258-9381

2800 E Desert Inn Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 294-7499

8205 W Warm Springs Rd
Ste 250
Las Vegas, NV 89113
Phone (702) 227-2152

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

Interoperability endpoints

  • Direct secure messaging: melvin.magsino.1@15442.direct.athenahealth.com

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1366076440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 W WARM SPRINGS RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133646",
            "telephone_number": "702-227-2152",
            "fax_number": "702-252-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 W WARM SPRINGS RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133646",
            "telephone_number": "702-227-2152",
            "fax_number": "702-252-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGSINO",
        "first_name": "MELVIN",
        "middle_name": "LUISTRO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4202",
            "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 Aug 10, 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.

Verify at the official NPI Registry.