Organization Active NPI

Basic Healing LLC

Doing business as Basic Healing Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Henderson, NV
National Provider Identifier
1457911364
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Nov 27, 2023

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1659727964MedicaidNV

Other names 1

  • Basic Healing Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Michele@basichealingpt.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.