Individual provider Active NPI

Shaena G. Amram, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1609264076
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2678 Issued in NV
Practice address
4980 W Sahara Ave Ste 260
Las Vegas, NV 89146-3435
Phone
(702) 820-5070
Fax
(702) 945-0314
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 41468 CA
Physical Therapist 225100000X 2678 NV Primary

Addresses

Primary practice location

4980 W Sahara Ave Ste 260
Las Vegas, NV 89146-3435

Mailing address

4980 W Sahara Ave Ste 260
Las Vegas, NV 89146-3435
Phone (702) 820-5070

Other names 1

  • Shaena Mae Sazon Gonzalez Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113001302 NV Practitioner - Physical Therapist in Private Practice 8820401748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians
Kevin P Debiparshad PLLCGroup PAC ID 1254692270, 2 clinicians

Practice addresses (Care Compare)

1505 Wigwam Pkwy
Suite 240
Henderson, NV 89074-8195
Phone (702) 568-0195

8180 Rafael Rivera Way
Las Vegas, NV 89113-5409
Phone (702) 678-4658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41468CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation, LLC CurrentSince Jan 4, 2021 Accepting new patients
Select Rehabilitation, LLC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients
Kevin P. Debiparshad PLLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Select PT, OT & SLP Rehabilitation Ny PLLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

2600 Compass Rd
Glenview, IL 60026
Phone (815) 232-2582

1505 Wigwam Pkwy
Ste 240
Henderson, NV 89074
Phone (702) 568-0195

7540 Smoke Ranch Rd
Las Vegas, NV 89128
Phone (702) 337-2480

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

6660 Grand Montecito Pkwy
Las Vegas, NV 89149
Phone (775) 347-7901

8180 Rafael Rivera Way
Las Vegas, NV 89113
Phone (702) 485-3640

Organizations & group practices 5

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1609264076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 W SAHARA AVE STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463435",
            "telephone_number": "702-820-5070",
            "fax_number": "702-945-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 W SAHARA AVE STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463435",
            "telephone_number": "702-820-5070",
            "fax_number": "702-945-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMRAM",
        "first_name": "SHAENA",
        "middle_name": "G.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41468",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAENA MAE",
            "last_name": "GONZALEZ",
            "middle_name": "SAZON",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 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.