Individual provider Active NPI

Alexander Manaloto, PT, GCS

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1568236149
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5075 Issued in NV
Practice address
5955 Edmond St
Las Vegas, NV 89118-2856
Phone
(866) 839-6979
NPI assigned
Nov 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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 5075 NV Primary

Addresses

Primary practice location

5955 Edmond St
Las Vegas, NV 89118-2856

Mailing address

5955 Edmond St
Las Vegas, NV 89118-2856
Phone (866) 839-6979

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129001820 NV Practitioner - Physical Therapist in Private Practice 2860840097 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Recovery LLC CurrentSince May 19, 2024 Accepting new patients
Nevada Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 14, 2023 Accepting new patients

Locations

5955 Edmond St
Las Vegas, NV 89118
Phone (702) 276-7655

5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964

2915 W Charleston Blvd
Ste 120
Las Vegas, NV 89102
Phone (702) 840-1222

Organizations & group practices 2

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1568236149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 EDMOND ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182856",
            "telephone_number": "866-839-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 EDMOND ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182856",
            "telephone_number": "866-839-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALOTO",
        "first_name": "ALEXANDER",
        "credential": "PT, GCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "5075",
            "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 Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.