Individual provider Active NPI

Samiksha Rajesh Tawade

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1437873718
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048806 Issued in NY
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

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221215000791 NY Practitioner - Physical Therapist in Private Practice 8921477860 Reassigns benefits to 1 organization
I20240417003942 NV Practitioner - Physical Therapist in Private Practice 8921477860 Reassigns benefits to 1 organization

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
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians

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 100Reported as group
Quality
85
Improvement activities
40
Cost
85.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients
CH Rehabilitation Associates PT & OT PLLC Physical Therapist CurrentSince Oct 31, 2022 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Apr 22, 2024 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.

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.

Verify at the official NPI Registry.