Organization Active NPI

MML Physical Therapy Group Inc

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1427379148
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0675 Issued in NV
Legal business name
MML PHYSICAL THERAPY GROUP INC
Practice address
600 S Tonopah Dr
Suite 350
Las Vegas, NV 89106-4025
Phone
(702) 384-6330
Fax
(702) 384-2668
NPI assigned
Jun 16, 2010
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Karen Crawford, PTNPI 1720096662
Title
Owner
Phone
(702) 384-6330

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 Therapist 225100000X 0675 NV Primary

Addresses

Primary practice location

600 S Tonopah Dr
Suite 350
Las Vegas, NV 89106-4025

Mailing address

600 S Tonopah Dr
Suite 350
Las Vegas, NV 89106-4025
Phone (702) 384-6330

Other identifiers 1

IdentifierTypeStateIssuer
1427379148MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100724000263 NV Part B Supplier - Clinic/Group Practice 4486786514 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV; N Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

1701 Wellness Way
Ste 201
Las Vegas, NV 89106
Phone (702) 685-3428

3050 E Bonanza Rd
Ste 110
Las Vegas, NV 89101
Phone (702) 685-0440

600 S Tonopah Dr
Ste 350
Las Vegas, NV 89106
Phone (702) 384-6330

1815 E Lake Mead Blvd
Ste 200
North Las Vegas, NV 89030
Phone (702) 320-7930

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1427379148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S TONOPAH DR",
            "address_2": "SUITE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064025",
            "telephone_number": "702-384-6330",
            "fax_number": "702-384-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S TONOPAH DR",
            "address_2": "SUITE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064025",
            "telephone_number": "702-384-6330",
            "fax_number": "702-384-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MML PHYSICAL THERAPY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-384-6330",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427379148",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 2016; 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.

Verify at the official NPI Registry.