Gary C Amick, PT
Individual provider Active NPI Physical Therapist · Las Vegas, NV
NPI 1528107174 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528107174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0223 (NV)
- Practice address
- 3399 S Eastern Ave
Las Vegas, NV 89169-3312 - Phone
- (702) 733-1842
- Fax
- (702) 732-4454
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0223 | NV | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0223 | NV | Yes |
Addresses
Primary practice location
3399 S Eastern Ave
Las Vegas, NV 89169-3312
Mailing address
3399 S Eastern Ave
Las Vegas, NV 89169-3312
Phone (702) 733-1842
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All providers in Las Vegas, NV · Physical Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.