Traci L Cassidy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2874 Issued in NV

Practice address

3602 E Sunset Rd
Suite 100
Las Vegas, NV 89120-7230

Phone

(702) 932-4308

Fax

(702) 837-8930

NPI assigned

Aug 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Traci L Delgado Former name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Nevada School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Therapy Centers LLCGroup PAC ID 0345202834, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Comprehensive Therapy Centers, LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1699861666

  NV, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Comprehensive Counseling Centers, LLC

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1376290247
  NPD
• Comprehensive Therapy Centers, LLC

  • Physical Therapist
  • Pahrump, NV
  • NPI 1942426549
  NPD
• Comprehensive Therapy Centers, LLC

  • Physical Therapist
  • Henderson, NV
  • NPI 1942472436
  NPD

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1508298043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 E SUNSET RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207230",
            "telephone_number": "702-932-4308",
            "fax_number": "702-837-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 E SUNSET RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207230",
            "telephone_number": "702-932-4308",
            "fax_number": "702-837-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "TRACI",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "DELGADO",
            "middle_name": "L",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katrina Rose Cassara, LMSW
• Joyce H. Cassen, MD
• Jacob Cassens
• Dominick Daniel Long Cassese, RN
• James J Cassidy II, LADC, CPC INTERN
• Cassie Franco Midwife
• Nakia Casson-Robinson, DPT
• Tony Castagno IV
• Cherry Ann Castanaga, PHARMD
• Evelyn Castanaga

• All providers in Las Vegas, NV
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.