Rondale Leslie Scruggs, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4858 Issued in NV

Practice address

6659 Virtuoso CT
Las Vegas, NV 89139-6712

Phone

(702) 581-4380

NPI assigned

Feb 8, 2015

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1423353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1407247810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 COYOTE CREST CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477814",
            "telephone_number": "702-581-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 VIRTUOSO CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396712",
            "telephone_number": "702-581-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "RONDALE",
        "middle_name": "LESLIE",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-08",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4858",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Scroggins
• Aloha Scruggs
• Duprice Scruggs
• Karren Renee Scruggs
• Keonta Delshawn Scruggs
• Yvonne E Scruggs
• Sheila Scrutchins
• Carmen Scuito, PT, DPT, CSCS
• Annette Scully
• John Scully, PA-C

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.