Active NPI
Karmin Kathleen O'Neill, DPT, MTC
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1376747238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1632
- Practice address
- 3100 N Tenaya Way
Suite 130
Las Vegas, NV 89128-0436 - Phone
- (702) 255-5018
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1632 | NV | Primary |
Addresses
Primary practice location
3100 N Tenaya Way
Suite 130
Las Vegas, NV 89128-0436
Mailing address
8153 White Mill CT
Las Vegas, NV 89131-1457
Phone (702) 878-7678
Other names 1
- Mrs. Karmin Kathleen Vidana
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1632 | NV | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376747238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8153 WHITE MILL CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891311457",
"telephone_number": "702-878-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 N TENAYA WAY",
"address_2": "SUITE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280436",
"telephone_number": "702-255-5018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "KARMIN",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "DPT, MTC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARMIN",
"last_name": "VIDANA",
"middle_name": "KATHLEEN",
"prefix": "MRS.",
"credential": "DPT, MTC",
"code": "2",
"type": "Professional Name"
}
]
}
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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.