Organization Active NPI

Step Forward Physical Therapy PLLC

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1619610326
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STEP FORWARD PHYSICAL THERAPY PLLC
Practice address
5406 Gold One LN
Las Vegas, NV 89122-8644
Phone
(206) 475-9417
NPI assigned
Apr 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Kelcey Hidalgo
Title
Physical Therapist
Phone
(206) 475-9417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5406 Gold One LN
Las Vegas, NV 89122-8644

Mailing address

5406 Gold One LN
Las Vegas, NV 89122-8644
Phone (206) 475-9417

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1619610326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 GOLD ONE LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891228644",
            "telephone_number": "206-475-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 GOLD ONE LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891228644",
            "telephone_number": "206-475-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP FORWARD PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "KELCEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "206-475-9417"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Apr 19, 2022; 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.