Zion Physical Therapy & Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0652 Issued in NV

Legal business name

ZION PHYSICAL THERAPY & SPORTS MEDICINE

Practice address

8560 S Eastern Ave Ste 140
Las Vegas, NV 89123-2833

Phone

(702) 914-3420

Fax

(702) 914-2534

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Wyatt Banks, PTNPI 1417000753

Title

Owner

Phone

(702) 914-3420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wyatt D Banks, PT

  • Physical Therapist
  • Enterprise, UT
  • NPI 1417000753
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1679608194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 S EASTERN AVE STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232833",
            "telephone_number": "702-914-3420",
            "fax_number": "702-914-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 S EASTERN AVE STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232833",
            "telephone_number": "702-914-3420",
            "fax_number": "702-914-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION PHYSICAL THERAPY & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "WYATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-914-3420",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zion Healing of Nevada LLC (Zion Healing Center)
• Zion Management Holdings, LLC (Apex Hospice Care)
• Zion Management Holdings, LLC (Apex Home Health)
• Zion Medical Group LLC
• Zion Pass LLC (Zion)
• Kimberly Zion
• Lorescia Zion
• Zions Behavioral & Mentoring Services
• Zions Behavioral & Mentoring Services
• Christine Zipf, MD

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.