Individual provider Active NPI

Lani Cruz Gelera, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1659079598
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4592 Issued in NV
Practice address
3835 S Jones Blvd
Las Vegas, NV 89103-7125
Phone
(702) 880-4193
Fax
(702) 880-4197
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12996 CT
Physical Therapist 225100000X 4592 NV Primary

Addresses

Primary practice location

3835 S Jones Blvd
Las Vegas, NV 89103-7125

Mailing address

3835 S Jones Blvd
Las Vegas, NV 89103-7125
Phone (702) 880-4193

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230419000383 NV Practitioner - Physical Therapist in Private Practice 2163897414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Vegas Pain Institute and Medical Center, LLCGroup PAC ID 0941256846, 8 clinicians

Practice addresses (Care Compare)

3835 S Jones Blvd
Suite 103
Las Vegas, NV 89103-2283
Phone (702) 880-4193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12996CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Valley Surgery Center, LLC CurrentSince Mar 24, 2023 Accepting new patients
Las Vegas Pain Institute and Medical Center, LLC Physical Therapist CurrentSince Mar 24, 2023 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients
Kuhl Consulting LV Past Accepting new patients
Henry Ford Maplegrove Center PastSince Feb 26, 2023 Accepting new patients

Locations

2705 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052

8828 Mohawk St
Las Vegas, NV 89139

3835 S Jones Blvd
Ste 103
Las Vegas, NV 89103
Phone (702) 227-4440

4616 W Sahara Ave
#337
Las Vegas, NV 89102

1900 N Nellis Blvd
Las Vegas, NV 89115
Phone (702) 227-4040

3835 S Jones Blvd
Ste 104
Las Vegas, NV 89103
Phone 7028804193750

3835 S Jones Blvd
Las Vegas, NV 89103

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBFEDD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1659079598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891037125",
            "telephone_number": "702-880-4193",
            "fax_number": "702-880-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891037125",
            "telephone_number": "702-880-4193",
            "fax_number": "702-880-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELERA",
        "first_name": "LANI",
        "middle_name": "CRUZ",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12996",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4592",
            "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 20, 2023; 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.