Organization Active NPI

Edwin Suarez Physical Therapy, LLC

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1457534869
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EDWIN SUAREZ PHYSICAL THERAPY, LLC
Practice address
3620 E Sunset Rd
#100
Las Vegas, NV 89120-7233
Phone
(702) 368-6778
Fax
(702) 368-6775
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Enez Morales
Title
Manager
Phone
(702) 522-7756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3620 E Sunset Rd
#100
Las Vegas, NV 89120-7233

Mailing address

3620 E Sunset Rd
#100
Las Vegas, NV 89120-7233
Phone (702) 368-6778

Other practice location 1

6930 S Cimarron Rd Ste 160
Las Vegas, NV 89113-2135
Phone (702) 368-6778

Other practice location 2

6200 N Durango Dr Ste 120
Las Vegas, NV 89149-3939
Phone (702) 368-6778

Other practice location 3

2415 Reynolds Ave Ste 200
North Las Vegas, NV 89030-7279
Phone (702) 368-6778

Other identifiers 1

IdentifierTypeStateIssuer
100506866MedicaidNV

Other names 1

  • Saurez Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407000020 NV Part B Supplier - Clinic/Group Practice 6507859360 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

4955 S Durango Dr
Ste 100
Las Vegas, NV 89113
Phone (702) 254-2300

6345 S Pecos Rd
Ste 106
Las Vegas, NV 89120
Phone (702) 368-6778

3620 E Sunset Rd
Ste 100
Las Vegas, NV 89120
Phone 7023686778 ext. 1

6930 S Cimarron Rd
Ste 160
Las Vegas, NV 89113
Phone (702) 368-6778

6200 N Durango Dr
Ste 120
Las Vegas, NV 89149
Phone (702) 368-6778

2415 Reynolds Ave
Ste 200
North Las Vegas, NV 89030
Phone (702) 368-6778

2415 Reynolds Ave
Ste 200N
North Las Vegas, NV 89030

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1457534869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 E SUNSET RD",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207233",
            "telephone_number": "702-368-6778",
            "fax_number": "702-368-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 E SUNSET RD",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207233",
            "telephone_number": "702-368-6778",
            "fax_number": "702-368-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6930 S Cimarron Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891132135",
            "country_code": "US",
            "telephone_number": "702-368-6778",
            "fax_number": "702-685-7811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 N Durango Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891493939",
            "country_code": "US",
            "telephone_number": "702-368-6778",
            "fax_number": "702-462-6141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 Reynolds Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890307279",
            "country_code": "US",
            "telephone_number": "702-368-6778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDWIN SUAREZ PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ENEZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-522-7756"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506866",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saurez Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.