Jon Alex Cantal, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4192 Issued in NV

Practice address

4370 Blue Diamond Rd Ste 100
Las Vegas, NV 89139-7787

Phone

(702) 443-9301

Fax

(702) 342-0600

NPI assigned

Mar 2, 2020

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

Other names 1

• Jon Alex Cruz Cantal Other name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.07 of 100Reported as group

Quality

85

Improvement activities

40

Cost

85.47

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

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  NV

  Medicare reassignment
• Brandon Jackson, P T

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  • Las Vegas, NV
  • NPI 1487682076
  NPD
• New Century Rehabilitation LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1396777892
  NPD
• New Century Rehabilitation, LLC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1801471628
  NPD
• Brandon Jackson PT

  • Sports Physical Therapist
  • Las Vegas, NV
  • NPI 1205266764
  NPD (past)
• 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": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1437783263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 BLUE DIAMOND RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397787",
            "telephone_number": "702-443-9301",
            "fax_number": "702-342-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4765 S Durango Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891478158",
            "country_code": "US",
            "telephone_number": "702-898-7633",
            "fax_number": "702-898-6433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTAL",
        "first_name": "JON",
        "middle_name": "ALEX",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JON ALEX",
            "last_name": "CANTAL",
            "middle_name": "CRUZ",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Kim Cantiero
• Gabriela Cantillano
• Azucena Cantillep

• 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 Jan 30, 2025; 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.