On Ice Athletics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ON ICE ATHLETICS LLC

Practice address

1550 S Pavilion Center Dr
Las Vegas, NV 89135-2964

Phone

(970) 391-6408

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Kendell Sarah Galor, MS, LAT, ATC, CSCSNPI 1144087057

Title

Manager

Phone

(970) 391-6408

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kendell Sarah Galor, MS, LAT, ATC, CSCS

  • Athletic Trainer
  • Las Vegas, NV
  • NPI 1144087057
  NPD Authorized official

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1649037557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 W AZURE DR STE 140-58",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891307999",
            "telephone_number": "970-391-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S PAVILION CENTER DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352964",
            "telephone_number": "970-391-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON ICE ATHLETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "GALOR",
        "authorized_official_first_name": "KENDELL",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-391-6408",
        "authorized_official_credential": "MS, LAT, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Delcina Omosola, PHD
• Precious Omotoyinbo
• Oms Surgical
• Audra Omwanghe
• On a Cloud Therapy
• On the Roll PT, LLC
• On-Time Medical Supply LLC (On-Time Medical Supply)
• Ana Maria Soriano Onate
• Mairelys Onate, DMD
• Brian Behnam Onbirbak, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.