Loren Ennis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3712 Issued in NV

Practice address

1450 E Prater Way Ste 103
Sparks, NV 89434-8973

Phone

(775) 331-1199

Fax

(775) 331-1180

NPI assigned

Mar 18, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Chynoweth Hill and Leavitt LLC

  dba Kelly Hawkins Physical Therapy Works

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1164415279

  Physical Therapist

  NPD
• Chynoweth Hill and Leavitt LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1780303727
  NPD

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1376002428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E PRATER WAY STE 103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348973",
            "telephone_number": "775-331-1199",
            "fax_number": "775-331-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E PRATER WAY STE 103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348973",
            "telephone_number": "775-331-1199",
            "fax_number": "775-331-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Abruzzi Ct",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894349208",
            "country_code": "US",
            "telephone_number": "214-908-4412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "LOREN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowered Path Therapy PLLC
• Empowerme Rehabilitation, LLC
• Chancey Endres, MLSW
• Derek Engebretson, PHARMD
• Paul Engel, CPC
• Williams Ako Enoh
• Soyoung Eom-Cho, PHARM D
• Kaysonia Epui
• Eric C Dean DDS LTD
• Vikki Erickson, LCSW

• Physical Therapist in Sparks, NV
• Providers in Sparks, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.