Patrick Atkinson – Rehabilitation Practitioner

Key facts

NPI: 1639737679
Entity type: Individual (NPI type 1)
Primary specialty: Rehabilitation Practitioner 225400000X
Practice address: 4285 N Rancho Dr
Las Vegas, NV 89130-3446
Phone: (702) 385-5331
NPI assigned: Jun 4, 2019
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Specialized Alternatives for Families and Youth of Nevada, Inc. Adolescent and Children Mental Health Clinic/Center · Las Vegas, NV · NPI 1962595348

NPD (past) REHABILITATION PRACTITIONER

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Specialized Alternatives for Families and Youth of Nevada, Inc.	Rehabilitation Practitioner	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Rehabilitation Practitioner	225400000X			Yes

Addresses

Primary practice location

4285 N Rancho Dr
Las Vegas, NV 89130-3446

Mailing address

4285 N Rancho Dr
Las Vegas, NV 89130-3446
Phone (702) 385-5331

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 4, 2019.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1639737679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 N RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303446",
            "telephone_number": "702-385-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4285 N RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303446",
            "telephone_number": "702-385-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Rehabilitation Practitioner in Nevada

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.