Active NPI
Mary Jo Sapalaran, PT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1639520091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3683
- Practice address
- 4510 S Eastern Ave
Ste. 9
Las Vegas, NV 89119-6118 - Phone
- (702) 379-6983
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3683 | NV | Primary |
Addresses
Primary practice location
4510 S Eastern Ave
Ste. 9
Las Vegas, NV 89119-6118
Mailing address
4510 S Eastern Ave
Ste. 9
Las Vegas, NV 89119-6118
Phone (702) 379-6983
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3683 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582329600000",
"number": "1639520091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 S EASTERN AVE",
"address_2": "STE. 9",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196118",
"telephone_number": "702-379-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 S EASTERN AVE",
"address_2": "STE. 9",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196118",
"telephone_number": "702-379-6983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAPALARAN",
"first_name": "MARY JO",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2020-02-22",
"certification_date": "2020-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3683",
"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 Feb 22, 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.