Individual provider Active NPI

Jestyne Raina Lee Sablan, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1578446597
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6728 Issued in NV
Practice address
8689 W Charleston Blvd Ste 106
Las Vegas, NV 89117-5485
Phone
(702) 991-6798
Fax
(702) 628-8367
NPI assigned
Jul 28, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 6728 NV Primary

Addresses

Primary practice location

8689 W Charleston Blvd Ste 106
Las Vegas, NV 89117-5485

Mailing address

8689 W Charleston Blvd Ste 106
Las Vegas, NV 89117-5485
Phone (702) 991-6798

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002005114 NV Practitioner - Physical Therapist in Private Practice 7416453915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Orthopaedic Center LTDGroup PAC ID 6406759661, 103 clinicians

Practice addresses (Care Compare)

8205 W Warm Springs Rd
Suite 250
Las Vegas, NV 89113-3646
Phone (702) 227-2152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6728NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Orthopaedic Center, LTD. CurrentSince Aug 4, 2025 Accepting new patients
Desert Orthopaedic Billing LLC Past Accepting new patients

Locations

2800 E Desert Inn Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 294-7499

8205 W Warm Springs Rd
Ste 250
Las Vegas, NV 89113
Phone (702) 227-2152

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, 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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1578446597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8689 W CHARLESTON BLVD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175485",
            "telephone_number": "702-991-6798",
            "fax_number": "702-628-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8689 W CHARLESTON BLVD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175485",
            "telephone_number": "702-991-6798",
            "fax_number": "702-628-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABLAN",
        "first_name": "JESTYNE",
        "middle_name": "RAINA LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6728",
            "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 Jul 28, 2025; 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.