Apichai Haisupa, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1309 Issued in NV

Practice address

2851 N Tenaya Way
Suite 205
Las Vegas, NV 89128-0453

Phone

(702) 655-9456

Fax

(702) 655-9594

NPI assigned

May 19, 2006

Sex

Male

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

• Ole Haisupa Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538113121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 RUBICON PEAK CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891293673",
            "telephone_number": "702-656-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 N TENAYA WAY",
            "address_2": "SUITE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280453",
            "telephone_number": "702-655-9456",
            "fax_number": "702-655-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAISUPA",
        "first_name": "APICHAI",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLE",
            "last_name": "HAISUPA",
            "credential": "MPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danial Hairston
• Ireonna Lee Hairston
• Keisa Micheal Hairston
• Lavonn Hairston
• Soledad Hairston
• Tashi Hisani Haith
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• Melissa Anne Haj-Mohammad
• Michael Hajal
• Oussama Hajal, PA

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.