Individual provider Active NPI

Istvan Takacs, P.T.,D.P.T.

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1528317138
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2013 Issued in NV
Practice address
3777 Pecos McLeod
Suite 102
Las Vegas, NV 89121-4264
Phone
(702) 731-6873
Fax
(702) 731-2565
NPI assigned
Aug 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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 2013 NV Primary

Addresses

Primary practice location

3777 Pecos McLeod
Suite 102
Las Vegas, NV 89121-4264

Mailing address

3777 Pecos McLeod
Suite 102
Las Vegas, NV 89121-4264
Phone (702) 731-6873

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170420002463 OR Practitioner - Physical Therapist in Private Practice 6002069218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nevada School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stratos Group LLCGroup PAC ID 6709155534, 10 clinicians

Practice addresses (Care Compare)

20510 SW Roy Rogers Rd
Suite 120
Sherwood, OR 97140-9320
Phone (971) 213-3335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stratos Group LLC Physical Therapist CurrentSince Apr 19, 2024 Accepting new patients
Cascade Gresham Physical Therapy, Inc. Past Accepting new patients

Locations

18215 NW West Union Rd
Ste B
Portland, OR 97229
Phone (971) 213-3335

20510 SW Roy Rogers Rd
Ste 120
Sherwood, OR 97140
Phone (971) 213-3335

Organizations & group practices 2

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1528317138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 PECOS MCLEOD",
            "address_2": "SUITE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214264",
            "telephone_number": "702-731-6873",
            "fax_number": "702-731-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 PECOS MCLEOD",
            "address_2": "SUITE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214264",
            "telephone_number": "702-731-6873",
            "fax_number": "702-731-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKACS",
        "first_name": "ISTVAN",
        "name_prefix": "Dr.",
        "credential": "P.T.,D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2013",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 29, 2012; 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.