Individual provider Active NPI

Victor Carrasco, PT

  • Physical Therapist
  • Alamogordo, NM
National Provider Identifier
1578914818
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4841 Issued in NM
Practice address
2351 Indian Wells Rd
Alamogordo, NM 88310-4607
Phone
(575) 437-3351
Fax
(575) 437-2622
NPI assigned
Jun 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3733 NV
Physical Therapist 225100000X 4841 NM Primary

Addresses

Primary practice location

2351 Indian Wells Rd
Alamogordo, NM 88310-4607

Mailing address

PO Box 2860
Alamogordo, NM 88311-2860
Phone (575) 439-1397

Other practice location 1

7455 W Washington Ave Ste 100
Las Vegas, NV 89128-4338
Phone (702) 655-9456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160713002200 NM Practitioner - Physical Therapist in Private Practice 5799077673 Reassigns benefits to 3 organizations
I20190605002229 NV Practitioner - Physical Therapist in Private Practice 5799077673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chynoweth Hill and Leavitt LLCGroup PAC ID 7012980550, 41 clinicians

Practice addresses (Care Compare)

7125 Grand Montecito Pkwy
Suite 120
Las Vegas, NV 89149-0261
Phone (702) 515-1540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4841NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia Physical Therapy LLC Physical Therapist CurrentSince Oct 1, 2016 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Jun 17, 2019 Accepting new patients
Chynoweth Hill and Leavitt LLC CurrentSince Feb 17, 2020 Accepting new patients
Chynoweth Hill and Leavitt LLC Physical Therapist CurrentSince Feb 17, 2020 Accepting new patients
Alamogordo Physical Therapy & Wellness Center, Inc Physical Therapist CurrentSince Jun 28, 2016 Accepting new patients
Carlsbad Physical Therapy & Wellness Center, LLC Physical Therapist CurrentSince Oct 1, 2016 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Jun 17, 2019 Accepting new patients
Chynoweth Hill and Leavitt LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2351 Indian Wells Rd
Alamogordo, NM 88310
Phone (575) 437-3351

601 W Mahone Dr
Artesia, NM 88210
Phone (575) 439-1397

126 S Canyon St
Carlsbad, NM 88220
Phone (505) 628-0503

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

7125 Grand Montecito Pkwy
Ste 120
Las Vegas, NV 89149
Phone (702) 515-1540

3831 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 876-1733

7455 W Washington Ave
Ste 100
Las Vegas, NV 89128
Phone (702) 655-9456

2080 E Flamingo Rd
Ste 111
Las Vegas, NV 89119
Phone (702) 339-9668

Organizations & group practices 8

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1578914818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2860",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883112860",
            "telephone_number": "575-439-1397",
            "fax_number": "575-437-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104607",
            "telephone_number": "575-437-3351",
            "fax_number": "575-437-2622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7455 W Washington Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891284338",
            "country_code": "US",
            "telephone_number": "702-655-9456",
            "fax_number": "702-243-1830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "VICTOR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3733",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.