Individual provider Active NPI

Mikale Warner, PT,DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1447978432
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4948 Issued in NV
Practice address
2930 W Horizon Ridge Pkwy Ste 205
Henderson, NV 89052-5062
Phone
(702) 294-7498
Fax
(702) 294-7495
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4948 NV Primary

Addresses

Primary practice location

2930 W Horizon Ridge Pkwy Ste 205
Henderson, NV 89052-5062

Mailing address

2930 W Horizon Ridge Pkwy Ste 205
Henderson, NV 89052-5062
Phone (702) 294-7498

Other practice location 1

401 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0397
Phone (702) 818-5000

Other practice location 2

1590 W Sunset Rd Ste 110
Henderson, NV 89014-6633
Phone (702) 818-5000

Other practice location 3

9005 S Pecos Rd Ste 2520
Henderson, NV 89074-7191
Phone (702) 818-5000

Other practice location 4

6785 W Russell Rd Ste 110
Las Vegas, NV 89118-1862
Phone (702) 818-5000

Other practice location 5

9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone (702) 818-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907001679 NV Practitioner - Physical Therapist in Private Practice 7113301367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Orthopaedic Center LTDGroup PAC ID 6406759661, 103 clinicians

Practice addresses (Care Compare)

2930 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-5059
Phone (702) 263-9082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4948NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Orthopaedic Center, LTD. CurrentSince Jan 23, 2023 Accepting new patients

Locations

2930 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 263-9082

2800 E Desert Inn Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 294-7499

Organizations & group practices 1

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1447978432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W HORIZON RIDGE PKWY STE 205",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525062",
            "telephone_number": "702-294-7498",
            "fax_number": "702-294-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W HORIZON RIDGE PKWY STE 205",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525062",
            "telephone_number": "702-294-7498",
            "fax_number": "702-294-7495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Buffalo Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891450397",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1590 W Sunset Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890146633",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9005 S Pecos Rd Ste 2520",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890747191",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6785 W Russell Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891181862",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9070 W Cheyenne Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891298935",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "MIKALE",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.