Evan Bishop, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2917 Issued in NV

Practice address

3777 Pecos McLeod Ste 102
Las Vegas, NV 89121-4265

Phone

(725) 205-8500

Fax

(702) 920-8414

NPI assigned

Nov 14, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LVL Up Physical Therapy PLLC 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• LVL Up Physical Therapy, PLLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1477165736

  NV

  Medicare reassignment Care Compare group Authorized official
• Therapy West LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1972168540
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1437589264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 PECOS MCLEOD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214265",
            "telephone_number": "725-205-8500",
            "fax_number": "702-920-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 PECOS MCLEOD STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214265",
            "telephone_number": "725-205-8500",
            "fax_number": "702-920-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "EVAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Bishop
• Amanda Bishop
• Annie Bishop
• Breana Bishop
• Deborah Odette Bishop, MSW
• Jacqueline Bishop
• Jesse Bishop
• Jordan Bishop
• Mara Leanna Kristina Alicdan Bishop, APRN
• Mary Bishop

• All providers in Las Vegas, NV
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.