Individual provider Active NPI

Nic Sparrow

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1629186945
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5785 Centennial Center Blvd Ste 220
Las Vegas, NV 89149-7111
Phone
(702) 916-2777
Fax
(702) 916-2778
NPI assigned
Aug 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 Primary

Addresses

Primary practice location

5785 Centennial Center Blvd Ste 220
Las Vegas, NV 89149-7111

Mailing address

1601 S Rainbow Blvd Ste 160
Las Vegas, NV 89146-0029
Phone (702) 916-2777

Other practice location 1

3012 S Durango Dr
Las Vegas, NV 89117-9186
Phone (702) 916-2777

Other practice location 2

861 Coronado Center Dr Ste 201
Henderson, NV 89052-3992
Phone (702) 232-1135

Other practice location 3

6301 Mountain Vista St Ste 201
Henderson, NV 89014-2365
Phone (702) 990-0936

Other identifiers 1

IdentifierTypeStateIssuer
1257OtherNVLICENSE #

Other names 1

  • Nicole Hoffman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001333 NV Practitioner - Physical Therapist in Private Practice 6800811019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neurological Rehab IncGroup PAC ID 6507159126, 368 clinicians

Practice addresses (Care Compare)

5255 Kietzke LN
Reno, NV 89511-2037
Phone (512) 327-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Feb 8, 2024 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Feb 8, 2024 Accepting new patients
First Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
Integrated Pain Relief, LLC Past Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

365 W A St
Fallon, NV 89406
Phone (775) 428-2428

861 Coronado Center Dr
Ste 201
Henderson, NV 89052
Phone (702) 897-7331

6301 Mountain Vista St
Ste 201
Henderson, NV 89014
Phone (702) 435-3900

3012 S Durango Dr
Las Vegas, NV 89117
Phone (702) 835-0088

5785 Centennial Center Blvd
Ste 220
Las Vegas, NV 89149
Phone (702) 916-2777

2710 W Charleston Blvd
Las Vegas, NV 89102
Phone (725) 237-2876

5255 Kietzke Ln
Reno, NV 89511

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1629186945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S RAINBOW BLVD STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891460029",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 CENTENNIAL CENTER BLVD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497111",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3012 S Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891179186",
            "country_code": "US",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "861 Coronado Center Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523992",
            "country_code": "US",
            "telephone_number": "702-232-1135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6301 Mountain Vista St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890142365",
            "country_code": "US",
            "telephone_number": "702-990-0936",
            "fax_number": "702-990-0937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARROW",
        "first_name": "NIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "1257",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HOFFMAN",
            "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 Feb 9, 2024; 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.