Organization Active NPI

Basic Healing LLC

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1659727964
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3031 Issued in NV
Legal business name
BASIC HEALING LLC
Practice address
9005 S Pecos Rd Ste 2600
Henderson, NV 89074-7192
Phone
(845) 517-7910
NPI assigned
May 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Lawrence Flisser, PT
Title
Owner
Phone
(845) 517-7910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 3031 NV Primary

Addresses

Primary practice location

9005 S Pecos Rd Ste 2600
Henderson, NV 89074-7192

Mailing address

1699 Yucatan CT
Henderson, NV 89012-3607
Phone (845) 517-7910

National Provider Directory

National Provider Directory

Locations

9017 S Pecos Rd
Ste 4500
Henderson, NV 89074
Phone (702) 277-6269

9005 S Pecos Rd
Ste 2600
Henderson, NV 89074
Phone (702) 458-4263

3050 E Bonanza Rd
Ste 110D
Las Vegas, NV 89101
Phone (702) 277-6269

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1659727964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 YUCATAN CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123607",
            "telephone_number": "845-517-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 S PECOS RD STE 2600",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747192",
            "telephone_number": "845-517-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "FLISSER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-517-7910",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.