Active NPI
Janelle Marie Espersen
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1548933245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4618
- Practice address
- 5940 S Rainbow Blvd Ste 4000
Las Vegas, NV 89118-2506 - Phone
- (702) 292-2596
- NPI assigned
- Jul 28, 2021
- Last updated
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4618 | NV | Primary |
Addresses
Primary practice location
5940 S Rainbow Blvd Ste 4000
Las Vegas, NV 89118-2506
Mailing address
12060 Avery Meadows Ave
Las Vegas, NV 89138-4508
Phone (614) 940-7946
Other practice location 1
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 791-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Therapy NV LLC | Physical Therapist | Past | Accepting new patients |
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, 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": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1548933245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12060 AVERY MEADOWS AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891384508",
"telephone_number": "614-940-7946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 S RAINBOW BLVD STE 4000",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182506",
"telephone_number": "702-292-2596"
}
],
"practiceLocations": [
{
"address_1": "6900 N Pecos Rd",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890864400",
"country_code": "US",
"telephone_number": "702-791-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPERSEN",
"first_name": "JANELLE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-28",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4618",
"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 Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.