NPIMap

Organization Active NPI

Anthem Physical Therapy, Inc.

Doing business as Synergy Physical Therapy

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1669552873
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ANTHEM PHYSICAL THERAPY, INC.
Doing business as
Synergy Physical Therapy
Practice address
11201 S Eastern Ave
Ste 220
Henderson, NV 89052-6201
Phone
(702) 614-0324
Fax
(702) 341-0324
NPI assigned
Oct 16, 2006
Last updated
Oct 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Mr. Nicole Evans, DPTNPI 1033160262
Title
President
Phone
(702) 614-0324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

11201 S Eastern Ave
Ste 220
Henderson, NV 89052-6201

Mailing address

1710 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89012-4901
Phone (702) 489-9217

Other practice location 1

1710 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89012-4901
Phone (702) 489-9217

Other practice location 2

4730 Blue Diamond Rd Ste 150
Las Vegas, NV 89139-7660
Phone (702) 909-6893

Other practice location 3

2870 Bicentennial Pkwy Ste 100
Henderson, NV 89044-4481
Phone (702) 483-3669

Other names 1

  • Synergy Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040107000054 NV Part B Supplier - Clinic/Group Practice 6709785934 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

11201 S Eastern Ave
Ste 220
Henderson, NV 89052
Phone (702) 614-0324

1710 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89012
Phone (702) 489-9217

2870 Bicentennial Pkwy
Ste 100
Henderson, NV 89044
Phone (702) 483-3669

2879 Saint Rose Pkwy
Ste 104
Henderson, NV 89052
Phone (702) 563-0255

4730 Blue Diamond Rd
Ste 150
Las Vegas, NV 89139
Phone (702) 909-6893

9625 W Saddle Ave
Ste 120
Las Vegas, NV 89147
Phone (702) 212-2744

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1669552873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124901",
            "telephone_number": "702-489-9217",
            "fax_number": "702-489-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 S EASTERN AVE",
            "address_2": "STE 220",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526201",
            "telephone_number": "702-614-0324",
            "fax_number": "702-341-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 W Horizon Ridge Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890124901",
            "country_code": "US",
            "telephone_number": "702-489-9217",
            "fax_number": "702-489-9134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4730 Blue Diamond Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891397660",
            "country_code": "US",
            "telephone_number": "702-909-6893",
            "fax_number": "702-912-0355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2870 Bicentennial Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890444481",
            "country_code": "US",
            "telephone_number": "702-483-3669",
            "fax_number": "702-483-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANTHEM PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-614-0324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synergy Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.