Active NPI
Wendelyn Javier Habac, PT, WCC, DCC
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1669285243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2988
- Practice address
- 10316 Achilpa St
Las Vegas, NV 89178-8029 - Phone
- (252) 646-9020
- NPI assigned
- Jan 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2988 | NV | Primary |
Addresses
Primary practice location
10316 Achilpa St
Las Vegas, NV 89178-8029
Mailing address
10316 Achilpa St
Las Vegas, NV 89178-8029
Phone (252) 646-9020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6208 Dartle St
Las Vegas, NV 89130-1376
Phone (702) 821-5725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2988 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Touch Wound Specialists LLC | Current | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1316771454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1669285243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10316 ACHILPA ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891788029",
"telephone_number": "252-646-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10316 ACHILPA ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891788029",
"telephone_number": "252-646-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABAC",
"first_name": "WENDELYN",
"middle_name": "JAVIER",
"credential": "PT, WCC, DCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2988",
"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 Jan 28, 2025; 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.