Individual provider Active NPI

Tina Lynn Alwardt, P.T.

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1457544611
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1864 Issued in NV
Practice address
7361 Prairie Falcon Rd
130-B
Las Vegas, NV 89128-0823
Phone
(702) 243-0515
Fax
(702) 243-2019
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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 1864 NV Primary

Addresses

Primary practice location

7361 Prairie Falcon Rd
130-B
Las Vegas, NV 89128-0823

Mailing address

7361 Prairie Falcon Rd
130-B
Las Vegas, NV 89128-0823
Phone (702) 243-0515

Other identifiers 1

IdentifierTypeStateIssuer
100505757MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1864NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chynoweth Hill and Leavitt LLC Physical Therapist Past Accepting new patients

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1457544611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7361 PRAIRIE FALCON RD",
            "address_2": "130-B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280823",
            "telephone_number": "702-243-0515",
            "fax_number": "702-243-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7361 PRAIRIE FALCON RD",
            "address_2": "130-B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280823",
            "telephone_number": "702-243-0515",
            "fax_number": "702-243-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWARDT",
        "first_name": "TINA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505757",
            "state": "NV"
        }
    ],
    "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 May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.