Active NPI
Raymond John Mellinger, PT, DPT
- Orthopedic Physical Therapist
- Las Vegas, NV
National Provider Identifier
1497390850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 4143
- Practice address
- 7250 Peak Drive
Suite 118
Las Vegas, NV 89128 - Phone
- (702) 893-3333
- Fax
- (702) 839-0095
- NPI assigned
- Nov 8, 2019
- Last updated
- Jul 13, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 4143 | NV | |
| Orthopedic Physical Therapist | 2251X0800X | 4143 | NV | Primary |
Addresses
Primary practice location
7250 Peak Drive
Suite 118
Las Vegas, NV 89128
Mailing address
7250 Peak Drive
Suite 118
Las Vegas, NV 89128
Phone (702) 893-3333
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | raymond.mellinger@fyzical.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1497390850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7250 PEAK DRIVE",
"address_2": "SUITE 118",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89128",
"telephone_number": "702-893-3333",
"fax_number": "702-839-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7250 PEAK DRIVE",
"address_2": "SUITE 118",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89128",
"telephone_number": "702-893-3333",
"fax_number": "702-839-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLINGER",
"first_name": "RAYMOND",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-08",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NV",
"license": "4143",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NV",
"license": "4143",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "raymond.mellinger@fyzical.com",
"affiliation": "N",
"endpointDescription": "Business E-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10430 W Cheyenne Ave # 100",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891298712",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.