Active NPI
Saint Don Niel Bautista Reyes, PT, ATP
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1457804239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3362
- Practice address
- 5480 Cold Lake St
Las Vegas, NV 89148-7609 - Phone
- (702) 289-9797
- NPI assigned
- Jul 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3362 | NV | Primary |
Addresses
Primary practice location
5480 Cold Lake St
Las Vegas, NV 89148-7609
Mailing address
5480 Cold Lake St
Las Vegas, NV 89148-7609
Phone (702) 289-9797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170106000607 | NV | Practitioner - Physical Therapist in Private Practice | 1355622366 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyshroud Home Health Corp | Physical Therapist | Current | Accepting new patients |
| Enlightened Transport LLC | Current | Accepting new patients | |
| Rehabtronix LLC | Current | Accepting new patients | |
| Summerland Mental Health LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
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- Non-emergency Medical Transport (VAN)
- Las Vegas, NV
- NPI 1548153240
-
- Physical Therapist
- Las Vegas, NV
- NPI 1497501019
-
- Customized Equipment (DME)
- San Jose, CA
- NPI 1043017734
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1336980937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1457804239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5480 COLD LAKE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891487609",
"telephone_number": "702-289-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 COLD LAKE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891487609",
"telephone_number": "702-289-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "SAINT DON NIEL",
"middle_name": "BAUTISTA",
"credential": "PT, ATP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-28",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3362",
"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 Apr 24, 2024; 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.