Randy Masao Nakasone, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

1308 Issued in NM

Practice address

508 University Ave
Las Vegas, NM 87701-4349

Phone

(505) 425-7762

Fax

(505) 454-9880

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Las Vegas Bodyworks LLC

  • Physical Therapist
  • Las Vegas, NM
  • NPI 1255503736
  Medicare reassignment NPD Authorized official
• Las Vegas Physical Therapy LLC

  • Physical Therapist
  • Las Vegas, NM
  • NPI 1427259704
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366512691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 UNIVERSITY AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014349",
            "telephone_number": "505-425-7762",
            "fax_number": "505-454-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UNIVERSITY AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014349",
            "telephone_number": "505-425-7762",
            "fax_number": "505-454-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKASONE",
        "first_name": "RANDY",
        "middle_name": "MASAO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1308",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaelyn Margaret Muldoon
• Susan B Mullen, LPC
• Dominic Mulroy, LMHC
• Amber Lee Munoz, FNP-C
• Richard L Nail, M.D.
• Jenny B Nation, FNP-C
• Verlee Neha, MA.CC.SLP
• Netherlands Anesthesia, LLC
• New Mexico Behavioral Health
• New Mexico Behavioral Health Institute

• Specialist in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.