Individual provider Active NPI

Bradley Clark Belasco, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1487522462
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6762 Issued in NV
Practice address
8689 W Charleston Blvd Ste 107
Las Vegas, NV 89117-5485
Phone
(702) 991-6798
Fax
(702) 628-8367
NPI assigned
Oct 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 6762 NV Primary

Addresses

Primary practice location

8689 W Charleston Blvd Ste 107
Las Vegas, NV 89117-5485

Mailing address

8689 W Charleston Blvd Ste 107
Las Vegas, NV 89117-5485
Phone (702) 991-6798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251121000110 NV Practitioner - Physical Therapist in Private Practice 4486146065 Reassigns benefits to 1 organization
I20260126000805 CA Practitioner - Physical Therapist in Private Practice 4486146065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nevada, Las Vegas School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auto-Ness Physical TherapyGroup PAC ID 3870984487, 6 clinicians
Desert Orthopaedic Center LTDGroup PAC ID 6406759661, 103 clinicians

Practice addresses (Care Compare)

10095 Scripps Ranch CT
Suite B
San Diego, CA 92131-1200
Phone (858) 324-5537

2800 E Desert Inn Rd
Suite 100
Las Vegas, NV 89121-3609
Phone (702) 731-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6762NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Auto-Ness Physical Therapy Physical Therapist CurrentSince Dec 24, 2025 Accepting new patients
Desert Orthopaedic Center, LTD. CurrentSince Nov 7, 2025 Accepting new patients
Desert Orthopaedic Billing LLC Past Accepting new patients

Locations

10625 Scripps Ranch Blvd
Ste C
San Diego, CA 92131
Phone (858) 324-5537

10095 Scripps Ranch Ct
Ste B
San Diego, CA 92131
Phone (858) 324-5537

8689 W Charleston Blvd
Ste 107
Las Vegas, NV 89117
Phone (702) 991-6798

2800 E Desert Inn Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 294-7499

Organizations & group practices 3

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": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1487522462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8689 W CHARLESTON BLVD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175485",
            "telephone_number": "702-991-6798",
            "fax_number": "702-628-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8689 W CHARLESTON BLVD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175485",
            "telephone_number": "702-991-6798",
            "fax_number": "702-628-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELASCO",
        "first_name": "BRADLEY",
        "middle_name": "CLARK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6762",
            "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 Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.