Active NPI
Basic Healing LLC
Doing business as Basic Healing Physical Therapy
- Physical Medicine & Rehabilitation Physician
- Henderson, NV
National Provider Identifier
1457911364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- BASIC HEALING LLC
- Doing business as
- Basic Healing Physical Therapy
- Practice address
- 1466 Verde Triandos Dr
Henderson, NV 89012-4427 - Phone
- (845) 517-7982
- Fax
- (702) 778-5800
- NPI assigned
- Jun 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michele Flisser
- Title
- Owner
- Phone
- (845) 517-7982
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1466 Verde Triandos Dr
Henderson, NV 89012-4427
Mailing address
1466 Verde Triandos Dr
Henderson, NV 89012-4427
Phone (845) 517-7982
Other practice location 1
3050 E Bonanza Rd Ste 110D
Las Vegas, NV 89101-3706
Phone (702) 277-6269
Other practice location 2
9017 S Pecos Rd Ste 4500
Henderson, NV 89074-6612
Phone (702) 277-6269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659727964 | Medicaid | NV |
Other names 1
- Basic Healing Physical Therapy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Michele@basichealingpt.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- North Las Vegas, NV
- NPI 1144867201
-
- Physical Therapist
- Henderson, NV
- NPI 1447582325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1457911364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1466 VERDE TRIANDOS DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890124427",
"telephone_number": "845-517-7982",
"fax_number": "702-778-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1466 VERDE TRIANDOS DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890124427",
"telephone_number": "845-517-7982",
"fax_number": "702-778-5800"
}
],
"practiceLocations": [
{
"address_1": "3050 E Bonanza Rd Ste 110D",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891013706",
"country_code": "US",
"telephone_number": "702-277-6269",
"fax_number": "702-778-5800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9017 S Pecos Rd Ste 4500",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890746612",
"country_code": "US",
"telephone_number": "702-277-6269",
"fax_number": "702-277-6269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BASIC HEALING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-13",
"last_updated": "2023-11-27",
"status": "A",
"authorized_official_last_name": "FLISSER",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-517-7982"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659727964",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Michele@basichealingpt.com",
"affiliation": "Y",
"endpointDescription": "Business HIPAA email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9017 S Pecos Rd Ste 4500",
"city": "Henderson",
"state": "NV",
"country_code": "US",
"postal_code": "890746612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Basic Healing Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Basic Healing Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.