Individual provider Active NPI

Sarah Distad, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1538608500
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3485 Issued in NV
Practice address
2879 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4808
Phone
(725) 726-7847
Fax
(725) 726-7876
NPI assigned
Feb 23, 2017
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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 3485 NV Primary

Addresses

Primary practice location

2879 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4808

Mailing address

10785 W Twain Ave Ste 250
Las Vegas, NV 89135-3068
Phone (725) 726-7847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717002478 NV Practitioner - Physical Therapist in Private Practice 3476823923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smith Therapy PartnersGroup PAC ID 1052731072, 46 clinicians

Practice addresses (Care Compare)

2879 Saint Rose Pkwy
Suite 110
Henderson, NV 89052-4808
Phone (725) 726-7847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Therapy Partners Physical Therapist CurrentSince May 9, 2022 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Aug 29, 2016 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Aug 29, 2016 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. PastSince May 29, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1505 Wigwam Pkwy
Ste 240
Henderson, NV 89074
Phone (702) 568-0195

1701 N Green Valley Pkwy
Ste 8B
Henderson, NV 89074
Phone (702) 914-2790

2879 Saint Rose Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 896-3444

10040 Alta Dr
Ste 230
Las Vegas, NV 89145
Phone (725) 726-7947

10785 W Twain Ave
Ste 250
Las Vegas, NV 89135

4000 S Eastern Ave
Ste 150
Las Vegas, NV 89119
Phone (702) 476-0262

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

727 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-4900

7455 W Washington Ave
Ste 100
Las Vegas, NV 89128
Phone (702) 655-9456

Organizations & group practices 7

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1538608500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10785 W TWAIN AVE STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891353068",
            "telephone_number": "725-726-7847",
            "fax_number": "725-726-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 SAINT ROSE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524808",
            "telephone_number": "725-726-7847",
            "fax_number": "725-726-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTAD",
        "first_name": "SARAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.