Theranation LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

2003398.062-122 Issued in NV

Legal business name

THERANATION LLC

Practice address

8910 W Tropicana Ave Ste 6
Las Vegas, NV 89147-8131

Phone

(702) 829-3435

Fax

(888) 498-7689

NPI assigned

Oct 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Harrison G Diep, DPT

Title

Business Owner

Phone

(702) 513-4247

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1629589320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 W TROPICANA AVE STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478131",
            "telephone_number": "702-829-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 W TROPICANA AVE STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478131",
            "telephone_number": "702-829-3435",
            "fax_number": "888-498-7689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8910 W Tropicana Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891478131",
            "country_code": "US",
            "telephone_number": "702-829-3435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERANATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DIEP",
        "authorized_official_first_name": "HARRISON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "702-513-4247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NV",
            "license": "2003398.062-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Potruch, MD (BreastCare)
• Scherley Theodore
• Raymond Barrier Theodosis, M.D.
• Dianna Lynn Theokas, AU.D.
• Theracounsel NV, Inc.
• Theranostics LLC
• Therapeutic Alliance LV LLC
• Therapeutic Integrated Medical Care Inc (Tim Care)
• Therapeutic Integrated Medical Care Inc (TIMCare)
• Therapeutic Integrated Medical Care Inc

• Rehabilitation Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.