Individual provider Active NPI

Alejandro J Delgado, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1528065786
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
370 Issued in NV
Practice address
3602 E Sunset Rd
Suite 100
Las Vegas, NV 89120-7202
Phone
(702) 932-4308
Fax
(702) 837-8930
NPI assigned
Jul 2, 2005
Reactivated
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 370 NV Primary

Addresses

Primary practice location

3602 E Sunset Rd
Suite 100
Las Vegas, NV 89120-7202

Mailing address

3602 E Sunset Rd
Suite 100
Las Vegas, NV 89120-7202
Phone (702) 932-4308

Other identifiers 1

IdentifierTypeStateIssuer
3402041MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000496 NV Practitioner - Physical Therapist in Private Practice 9234047739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
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)

1420 E Calvada Blvd
Suite 300
Pahrump, NV 89048-3975
Phone (775) 727-4700

3602 E Sunset Rd
Suite 100
Las Vegas, NV 89120-7202
Phone (702) 932-4308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapy Centers, LLC Physical Therapist CurrentSince Apr 1, 2005 Accepting new patients
Comprehensive Therapy Centers, LLC Physical Therapist Current Accepting new patients
Comprehensive Therapy Centers, LLC Physical Therapist CurrentSince Apr 1, 2005 Accepting new patients

Locations

3602 E Sunset Rd
Ste 100
Las Vegas, NV 89120
Phone (702) 932-4308

1420 E Calvada Blvd
Ste 300
Pahrump, NV 89048
Phone (775) 727-4700

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.

NPI Registry JSON

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

{
    "created_epoch": "1120262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1528065786",
    "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": "891207202",
            "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": "891207202",
            "telephone_number": "702-932-4308",
            "fax_number": "702-837-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "ALEJANDRO",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-02",
        "last_updated": "2009-01-15",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3402041",
            "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 Jan 15, 2009; 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.