NPIMap

Organization Active NPI

Las Vegas Physical Therapy LLC

  • Physical Therapist
  • Las Vegas, NM
National Provider Identifier
1427259704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LAS VEGAS PHYSICAL THERAPY LLC
Practice address
508 University Ave
Las Vegas, NM 87701-4349
Phone
(505) 425-7762
Fax
(505) 454-9880
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Randy Maseo Nakasone, P.T.NPI 1366512691
Title
Partner
Phone
(505) 425-7762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

508 University Ave
Las Vegas, NM 87701-4349

Mailing address

508 University Ave
Las Vegas, NM 87701-4349
Phone (505) 425-7762

National Provider Directory

National Provider Directory

Locations

508 University Ave
Las Vegas, NM 87701
Phone (505) 425-7762

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427259704",
    "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": {
        "organization_name": "LAS VEGAS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAKASONE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MASEO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-425-7762",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.