Individual provider Active NPI

Edward Barro Jaucian, PT

  • Physical Therapist
  • North Las Vegas, NV
National Provider Identifier
1669822698
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4413 Issued in NV
Practice address
2550 Nature Park Dr Ste 250
North Las Vegas, NV 89084-3206
Phone
(702) 859-9710
Fax
(702) 859-4711
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 J1-00020890 DE
Physical Therapist 225100000X 4413 NV Primary

Addresses

Primary practice location

2550 Nature Park Dr Ste 250
North Las Vegas, NV 89084-3206

Mailing address

2550 Nature Park Dr Ste 250
North Las Vegas, NV 89084-3206
Phone (702) 859-4710

Other practice location 1

5980 W 71st St
Suite 102
Indianapolis, IN 46278-2711
Phone (317) 388-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210823002837 NV Practitioner - Physical Therapist in Private Practice 3274938642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Select Nevada LLCGroup PAC ID 0941541155, 111 clinicians

Practice addresses (Care Compare)

2550 Nature Park Dr
Suite 250
North Las Vegas, NV 89084-3206
Phone (702) 859-4710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4413NVMDFamily Medicine Physician
J1-00020890DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Select Nevada, LLC CurrentSince May 24, 2024 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince May 8, 2021 Accepting new patients
Dignity Select Nevada, LLC CurrentSince May 24, 2024 Accepting new patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince May 8, 2021 Accepting new patients
Dignity Select Nevada LLC Physical Therapist Current Accepting new patients
Access Therapies,Inc Past Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

400 N Stephanie St
Ste 310
Henderson, NV 89014
Phone (702) 360-9142

2904 W Horizon Ridge Pkwy
Ste 121
Henderson, NV 89052
Phone (702) 897-7331

555 College Dr
Ste C
Henderson, NV 89015
Phone (725) 254-1251

1395 Raiders Way
Ste 140
Henderson, NV 89052
Phone (725) 241-6800

2850 W Horizon Ridge Pkwy
Ste 320
Henderson, NV 89052
Phone (702) 564-4116

2651 Paseo Verde Pkwy
Ste 170
Henderson, NV 89074
Phone (702) 312-4878

9880 W Flamingo Rd
Ste 260
Las Vegas, NV 89147
Phone (702) 360-9142

2110 E Flamingo Rd
Ste 314
Las Vegas, NV 89119
Phone (702) 813-1237

4855 Blue Diamond Rd
Ste 210
Las Vegas, NV 89139
Phone (725) 207-3770

10630 Dean Martin Dr
Ste 120
Las Vegas, NV 89141
Phone (725) 254-1330

1776 E Warm Springs Rd
Ste 106
Las Vegas, NV 89119
Phone (702) 603-4110

821 N Nellis Blvd
Ste 130
Las Vegas, NV 89110
Phone (702) 227-4447

8740 W Charleston Blvd
Ste 12
Las Vegas, NV 89117
Phone (725) 257-6560

8675 W Rome Blvd
Ste 140
Las Vegas, NV 89149
Phone (725) 206-7929

6048 S Durango Dr
Ste 100
Las Vegas, NV 89113
Phone (702) 260-6238

2650 N Tenaya Way
Ste 180
Las Vegas, NV 89128
Phone (702) 240-2952

4980 W Sahara Ave
Ste 260
Las Vegas, NV 89146
Phone (702) 240-2952

1550 W Craig Rd
Ste 210
North Las Vegas, NV 89032
Phone (702) 343-0623

2550 Nature Park Dr
Ste 250
North Las Vegas, NV 89084
Phone (702) 524-8555

5255 Kietzke Ln
Reno, NV 89511

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 6

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1669822698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 NATURE PARK DR STE 250",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843206",
            "telephone_number": "702-859-4710",
            "fax_number": "317-388-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NATURE PARK DR STE 250",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890843206",
            "telephone_number": "702-859-9710",
            "fax_number": "702-859-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5980 W 71st St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462782711",
            "country_code": "US",
            "telephone_number": "317-388-0800",
            "fax_number": "317-388-0805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAUCIAN",
        "first_name": "EDWARD",
        "middle_name": "BARRO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-00020890",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 18, 2024; 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.