Individual provider Active NPI

Pierre Mikael Lava

  • Physical Therapy Assistant
  • Las Vegas, NV
National Provider Identifier
1568228260
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1544 Issued in NV
Practice address
660 S Martin Luther King Blvd
Las Vegas, NV 89106-4413
Phone
(702) 382-5580
NPI assigned
Feb 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1544 NV Primary

Addresses

Primary practice location

660 S Martin Luther King Blvd
Las Vegas, NV 89106-4413

Mailing address

11242 Aurora Cove CT
Las Vegas, NV 89179-2008

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

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1568228260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11242 AURORA COVE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891792008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S MARTIN LUTHER KING BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064413",
            "telephone_number": "702-382-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVA",
        "first_name": "PIERRE MIKAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "1544",
            "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 Feb 21, 2024; 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.