Individual provider Active NPI

Heather Fox, PT, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1609361914
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3753 Issued in NV
Practice address
7125 Grand Montecito Pkwy Ste 120
Las Vegas, NV 89149-0261
Phone
(702) 515-1540
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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 3753 NV Primary

Addresses

Primary practice location

7125 Grand Montecito Pkwy Ste 120
Las Vegas, NV 89149-0261

Mailing address

2420 Ginger Lily LN
Las Vegas, NV 89134-6031

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chynoweth Hill and Leavitt LLC CurrentSince Jul 2, 2018 Accepting new patients
Brandon Jackson, P T Physical Therapist CurrentSince May 21, 2021 Accepting new patients
Chynoweth Hill and Leavitt LLC Physical Therapist CurrentSince Jul 2, 2018 Accepting new patients
Brandon Jackson PT PastSince May 21, 2021 Accepting new patients

Locations

5550 Painted Mirage Rd
Ste 120
Las Vegas, NV 89149
Phone (702) 898-7633

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

4765 S Durango Dr
Ste 106
Las Vegas, NV 89147
Phone (702) 898-7633

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

Organizations & group practices 4

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1609361914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 GINGER LILY LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 GRAND MONTECITO PKWY STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490261",
            "telephone_number": "702-515-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "HEATHER",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3753",
            "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 Aug 20, 2020; 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.