Individual provider Active NPI

Walter Nufable, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1669142923
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5023 Issued in NV
Practice address
8551 W Lake Mead Blvd Ste 170
Las Vegas, NV 89128-7649
Phone
(702) 363-9000
Fax
(702) 363-1978
NPI assigned
Sep 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 045872-01 NY
Physical Therapist 225100000X 5023 NV Primary

Addresses

Primary practice location

8551 W Lake Mead Blvd Ste 170
Las Vegas, NV 89128-7649

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

540 Main St Apt 466
New York, NY 10044-0176
Phone (702) 544-0849

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711002849 NV Practitioner - Physical Therapist in Private Practice 6406247972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians

Practice addresses (Care Compare)

8551 W Lake Mead Blvd
Suite 170
Las Vegas, NV 89128-7649
Phone (702) 363-9000

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
85
Improvement activities
40
Cost
85.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045872NYMDDentist
5023NVMDDermatology Physician
045872-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Jun 19, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

8551 W Lake Mead Blvd
Ste 170
Las Vegas, NV 89128
Phone (702) 363-9000

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

7301 Peak Dr
Ste 101
Las Vegas, NV 89128
Phone (702) 940-3000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669142923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 W LAKE MEAD BLVD STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287649",
            "telephone_number": "702-363-9000",
            "fax_number": "702-363-1978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Main St Apt 466",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100440176",
            "country_code": "US",
            "telephone_number": "702-544-0849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUFABLE",
        "first_name": "WALTER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045872-01",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "5023",
            "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 Jul 13, 2026; 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.