Active NPI
Samiksha Rajesh Tawade
- Physical Therapist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 048806
- Practice address
- 7060 N Durango Dr Ste 130
Las Vegas, NV 89149-4605 - Phone
- (702) 826-5749
- Fax
- (702) 273-3015
- NPI assigned
- Sep 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NV | ||
| Physical Therapist | 225100000X | 048806 | NY | Primary |
Addresses
Primary practice location
7060 N Durango Dr Ste 130
Las Vegas, NV 89149-4605
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
425 Kingston Ave
Brooklyn, NY 11225-3127
Phone (718) 659-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NV
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7060 N Durango Dr
Suite 130
Las Vegas, NV 89149-4605
Phone (702) 826-5749
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 85.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Century Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| CH Rehabilitation Associates PT & OT PLLC | Physical Therapist | Current | Accepting new patients |
| New Century Rehabilitation, LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732
7060 N Durango Dr
Ste 130
Las Vegas, NV 89149
Phone (702) 826-5749
425 Kingston Ave
Brooklyn, NY 11225
Phone (718) 616-1450
Organizations & group practices 3
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.
-
dba ATI Physical Therapy
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- Las Vegas, NV
- NPI 1396777892
-
- Physical Therapist
- Brooklyn, NY
- NPI 1588296206
-
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
- NPI 1801471628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1437873718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7060 N DURANGO DR STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494605",
"telephone_number": "702-826-5749",
"fax_number": "702-273-3015"
}
],
"practiceLocations": [
{
"address_1": "425 Kingston Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112253127",
"country_code": "US",
"telephone_number": "718-659-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAWADE",
"first_name": "SAMIKSHA",
"middle_name": "RAJESH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-29",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "048806",
"primary": true
}
],
"identifiers": [],
"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 Jul 3, 2024; 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.