Active NPI
Michael L McFall, RPT
- Physical Therapist
- Las Vegas, NM
National Provider Identifier
1396814075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1132
- Practice address
- 932 Gallinas St
Suite 103
Las Vegas, NM 87701-3891 - Phone
- (505) 425-7762
- Fax
- (505) 454-0801
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1132 | NM | |
| Physical Therapist | 225100000X | 1132 | NM | Primary |
Addresses
Primary practice location
932 Gallinas St
Suite 103
Las Vegas, NM 87701-3891
Mailing address
2810 Hot Springs Blvd Ste a
Las Vegas, NM 87701-4119
Phone (505) 425-7762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39185885 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1132 | NM | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McFall Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Las Vegas Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
2810 Hot Springs Blvd
Ste A
Las Vegas, NM 87701
Phone (505) 425-7762
Organizations & group practices 2
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.
-
- Physical Therapist
- Las Vegas, NM
- NPI 1285806406
-
- Physical Therapist
- Las Vegas, NM
- NPI 1427259704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1396814075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 HOT SPRINGS BLVD STE A",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014119",
"telephone_number": "505-425-7762",
"fax_number": "505-454-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 GALLINAS ST",
"address_2": "SUITE 103",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877013891",
"telephone_number": "505-425-7762",
"fax_number": "505-454-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFALL",
"first_name": "MICHAEL",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "1132",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "1132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39185885",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.