Organization Active NPI

Panda Movement Recovery LLC

  • Rehabilitation Hospital Unit
  • Las Vegas, NV
National Provider Identifier
1619682853
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
PANDA MOVEMENT RECOVERY LLC
Practice address
1820 S Rainbow Blvd # 101
Las Vegas, NV 89146-2911
Phone
(310) 874-0408
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Cindy Hernandez, LMT, MMP, FMT, CPTNPI 1265198303
Title
Owner
Phone
(310) 874-0408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

1820 S Rainbow Blvd # 101
Las Vegas, NV 89146-2911

Mailing address

8659 Vermont Vista St
Las Vegas, NV 89113-5540
Phone (310) 874-0408

Other names 1

  • Panda Movement Recovery Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gmail Direct

National Provider Directory

National Provider Directory

Locations

1820 S Rainbow Blvd
#101
Las Vegas, NV 89146
Phone (310) 874-0408

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1619682853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8659 VERMONT VISTA ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891135540",
            "telephone_number": "310-874-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S RAINBOW BLVD # 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462911",
            "telephone_number": "310-874-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDA MOVEMENT RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-874-0408",
        "authorized_official_credential": "LMT, MMP, FMT, CPT"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gmail",
            "affiliation": "N",
            "endpointDescription": "Google Form",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1820 S Rainbow Blvd # 101",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891462911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Panda Movement Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 2023; 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.