NPIMap

Organization Active NPI

Vegas Valley Rehabilitation

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1659472199
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1951 Issued in NV
Legal business name
VEGAS VALLEY REHABILITATION
Practice address
500 N Rainbow Blvd
Suite 115
Las Vegas, NV 89107-1082
Phone
(702) 256-8080
Fax
(702) 256-8081
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barrie Jill Minadeo-Knutson, CMA-A
Title
Office Manager
Phone
(702) 256-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 1951 NV Primary

Addresses

Primary practice location

500 N Rainbow Blvd
Suite 115
Las Vegas, NV 89107-1082

Mailing address

500 N Rainbow Blvd
Suite 115
Las Vegas, NV 89107-1082
Phone (702) 256-8080

Other names 1

  • DBA American Spine & Sports Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

500 N Rainbow Blvd
Ste 115
Las Vegas, NV 89107
Phone (702) 256-8080

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659472199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD",
            "address_2": "SUITE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "702-256-8080",
            "fax_number": "702-256-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD",
            "address_2": "SUITE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "702-256-8080",
            "fax_number": "702-256-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS VALLEY REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINADEO-KNUTSON",
        "authorized_official_first_name": "BARRIE",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-256-8080",
        "authorized_official_credential": "CMA-A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA American Spine & Sports Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 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.

Verify at the official NPI Registry.