Active NPI
Frederick Dubois
- Physical Therapist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 630 S Rancho Dr Ste D
Las Vegas, NV 89106-4849 - Phone
- (702) 878-2244
- NPI assigned
- Aug 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
630 S Rancho Dr Ste D
Las Vegas, NV 89106-4849
Mailing address
1845 Walker LN
Henderson, NV 89014-4015
Phone (702) 217-2346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1631 | Other | NV | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 N Stephanie St
Suite 310
Henderson, NV 89014-6608
Phone (702) 454-1162
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Select Nevada LLC | Physical Therapist | Current | Accepting new patients |
| Dignity Select Nevada, LLC | Current | Accepting new patients | |
| Dignity Select Nevada LLC | Current | Accepting new patients |
Locations
400 N Stephanie St
Ste 310
Henderson, NV 89014
Phone (702) 360-9142
2904 W Horizon Ridge Pkwy
Ste 121
Henderson, NV 89052
Phone (702) 897-7331
555 College Dr
Ste C
Henderson, NV 89015
Phone (725) 254-1251
1395 Raiders Way
Ste 140
Henderson, NV 89052
Phone (725) 241-6800
2850 W Horizon Ridge Pkwy
Ste 320
Henderson, NV 89052
Phone (702) 564-4116
2651 Paseo Verde Pkwy
Ste 170
Henderson, NV 89074
Phone (702) 312-4878
9880 W Flamingo Rd
Ste 260
Las Vegas, NV 89147
Phone (702) 360-9142
2110 E Flamingo Rd
Ste 314
Las Vegas, NV 89119
Phone (702) 813-1237
4855 Blue Diamond Rd
Ste 210
Las Vegas, NV 89139
Phone (725) 207-3770
10630 Dean Martin Dr
Ste 120
Las Vegas, NV 89141
Phone (725) 254-1330
1776 E Warm Springs Rd
Ste 106
Las Vegas, NV 89119
Phone (702) 603-4110
821 N Nellis Blvd
Ste 130
Las Vegas, NV 89110
Phone (702) 227-4447
8740 W Charleston Blvd
Ste 12
Las Vegas, NV 89117
Phone (725) 257-6560
6048 S Durango Dr
Ste 100
Las Vegas, NV 89113
Phone (702) 260-6238
2650 N Tenaya Way
Ste 180
Las Vegas, NV 89128
Phone (702) 240-2952
4980 W Sahara Ave
Ste 260
Las Vegas, NV 89146
Phone (702) 240-2952
8675 W Rome Blvd
Ste 140
Las Vegas, NV 89149
Phone (725) 206-7929
1550 W Craig Rd
Ste 210
North Las Vegas, NV 89032
Phone (702) 343-0623
2550 Nature Park Dr
Ste 250
North Las Vegas, NV 89084
Phone (702) 524-8555
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
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.
-
- Physical Therapy Clinic/Center
- Henderson, NV
- NPI 1710446281
Physical Therapist
-
- Rehabilitation Clinic/Center
- Las Vegas, NV
- NPI 1205395670
-
- Physical Therapy Clinic/Center
- Las Vegas, NV
- NPI 1821962572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1497862809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 WALKER LN",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890144015",
"telephone_number": "702-217-2346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S RANCHO DR STE D",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064849",
"telephone_number": "702-878-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "FREDERICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "1631",
"state": "NV"
}
],
"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 Jun 7, 2011; 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.