Nolan Michael Daniels, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4407 Issued in NV

Practice address

3012 S Durango Dr
Las Vegas, NV 89117-9186

Phone

(702) 916-2777

Fax

(702) 916-2778

NPI assigned

Oct 13, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Physical Therapy LLC 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• First Physical Therapy LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1851332720

  NV, Single Specialty

  Medicare reassignment Care Compare group NPD
• Nevada Luna Care Physical Therapy LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1457087009

  NV, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1659979540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785 CENTENNIAL CENTER BLVD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497111",
            "telephone_number": "702-916-7777",
            "fax_number": "702-916-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 S DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891179186",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 Mountain Vista St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890142365",
            "country_code": "US",
            "telephone_number": "702-990-0936",
            "fax_number": "702-990-0937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "861 Coronado Center Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523992",
            "country_code": "US",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5785 Centennial Center Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891497111",
            "country_code": "US",
            "telephone_number": "702-916-2777",
            "fax_number": "702-916-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "NOLAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2023-10-24",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leshay D Daniels, LMFT
• Mahasin Daniels
• Marcell Daniels
• Mercedez Daniels
• Nia Daniels
• Rita Marie Daniels
• Tracy Daniels
• Willie Daniels Jr.
• Delzarae Danielson
• Jacob Nephi Danielson, D.C.

• All providers in Las Vegas, NV
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.