Anchor Medical Partners of Las Vegas LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ANCHOR MEDICAL PARTNERS OF LAS VEGAS LLC

Practice address

1750 Hardy Ave
Logandale, NV 89021-9979

Phone

(208) 740-9076

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Travis Winward

Title

President

Phone

(208) 740-9076

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1467286153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1504",
            "city": "LOGANDALE",
            "state": "NV",
            "postal_code": "890211504",
            "telephone_number": "208-740-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 HARDY AVE",
            "city": "LOGANDALE",
            "state": "NV",
            "postal_code": "890219979",
            "telephone_number": "208-740-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR MEDICAL PARTNERS OF LAS VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "WINWARD",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-740-9076"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Bailey, LAT, ATC
• Savanna Blackwell
• Shawna Callagher
• Curtis Family Dental
• Kevin Dotson

• Physical Medicine & Rehabilitation Physician in Logandale, NV
• Providers in Logandale, NV by specialty
• Physical Medicine & Rehabilitation Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.