Individual provider Active NPI

Jeffrey Lynn Deets, P.T.

  • Orthopedic Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1518051291
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0570 Issued in NV
Practice address
2800 E Desert Inn Rd
200
Las Vegas, NV 89121
Phone
(702) 892-9077
Fax
(702) 892-9044
NPI assigned
Oct 3, 2006
Last updated
Dec 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 0570 NV Primary

Addresses

Primary practice location

2800 E Desert Inn Rd
200
Las Vegas, NV 89121

Mailing address

68 N Pecos Rd
Ste B
Henderson, NV 89074-7340
Phone (702) 597-8999

Other identifiers 1

IdentifierTypeStateIssuer
003402061MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000339 NV Practitioner - Physical Therapist in Private Practice 7911956032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

68 N Pecos Rd
Suite B
Henderson, NV 89074-7340
Phone (702) 597-8999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0570NVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosport Physical Therapy and Sports Performance, Inc Orthopedic CurrentSince Jan 25, 2002 Accepting new patients

Locations

68 N Pecos Rd
Ste B
Henderson, NV 89074
Phone (702) 597-8999

2800 E Desert Inn Rd
Ste 200
Las Vegas, NV 89121
Phone (702) 294-7499

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1518051291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 N PECOS RD",
            "address_2": "STE B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747340",
            "telephone_number": "702-597-8999",
            "fax_number": "702-597-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E DESERT INN RD",
            "address_2": "200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89121",
            "telephone_number": "702-892-9077",
            "fax_number": "702-892-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEETS",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NV",
            "license": "0570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003402061",
            "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 Dec 19, 2017; 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.