Choi Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CHOI PHYSICAL THERAPY PC

Practice address

2675 S Jones Blvd Ste 210
Las Vegas, NV 89146-5610

Phone

(917) 460-6304

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Daelim ChoiNPI 1063067494

Title

Physical Therapist

Phone

(917) 460-6304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

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

• Daelim Choi

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1063067494

  NV

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1497429682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 RIVER GLEN DR UNIT 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891038743",
            "telephone_number": "917-460-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 S JONES BLVD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465610",
            "telephone_number": "917-460-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOI PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "DAELIM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-460-6304"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haeoh Choe, DDS
• Ian Choe, M.D.
• Maria Rachel Chohlidakis, M.D.
• Jamila Chohra
• Choi Dentistry PLLC
• Andy Tuan Choi, MD
• Chang Jae Choi
• Chang S Choi
• Christian Sangjin Choi, D.C.
• Christopher S Choi, MD

• All providers in Las Vegas, NV
• Physical Therapy Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.