Individual provider Active NPI

Stephen Burke Hill, PT, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1548885684
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4311 Issued in NV
Practice address
3530 E Flamingo Rd Ste 115
Las Vegas, NV 89121-5091
Phone
(702) 954-4020
NPI assigned
Jun 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 4311 NV Primary

Addresses

Primary practice location

3530 E Flamingo Rd Ste 115
Las Vegas, NV 89121-5091

Mailing address

9975 Peace Way Unit 1169
Las Vegas, NV 89147-8439
Phone (801) 921-0391

Other practice location 1

9975 Peace Way Unit 1169
Las Vegas, NV 89147-8439
Phone (801) 921-0391

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210122000987 NV Practitioner - Physical Therapist in Private Practice 2668886201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tru Physical Therapy IncGroup PAC ID 0941245302, 5 clinicians

Practice addresses (Care Compare)

70 E Horizon Ridge Pkwy
Henderson, NV 89002-7937
Phone (702) 856-0422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4311NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tru Physical Therapy Inc Single Specialty CurrentSince Jan 4, 2021 Accepting new patients

Locations

300 S Racetrack Rd
Henderson, NV 89015

70 E Horizon Ridge Pkwy
Ste 180
Henderson, NV 89002
Phone (702) 856-0422

250 S Green Valley Pkwy
Henderson, NV 89012
Phone (702) 267-5800

3530 E Flamingo Rd
Ste 115
Las Vegas, NV 89121
Phone (702) 888-2686

Organizations & group practices 1

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1548885684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9975 PEACE WAY UNIT 1169",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478439",
            "telephone_number": "801-921-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 E FLAMINGO RD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215091",
            "telephone_number": "702-954-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9975 Peace Way Unit 1169",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891478439",
            "country_code": "US",
            "telephone_number": "801-921-0391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "STEPHEN",
        "middle_name": "BURKE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4311",
            "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 Jun 15, 2020; 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.