Individual provider Active NPI

Nick Chaharlang, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1699310938
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4149 Issued in NV
Practice address
8988 W Cheyenne Ave Ste 120
Las Vegas, NV 89129-8928
Phone
(702) 896-0383
Fax
(702) 889-0383
NPI assigned
Nov 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4149 NV Primary

Addresses

Primary practice location

8988 W Cheyenne Ave Ste 120
Las Vegas, NV 89129-8928

Mailing address

2625 W Horizon Ridge Pkwy Ste 120
Henderson, NV 89052-2896
Phone (702) 896-0383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327003214 NV Practitioner - Physical Therapist in Private Practice 0941639876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4149NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Manual Therapy Institute I LLC Physical Therapist CurrentSince Feb 22, 2020 Accepting new patients
Advanced Manuel Therapy Institute 1 LLC Physical Therapist CurrentSince Feb 22, 2020 Accepting new patients
Advanced Manuel Therapy Institute 1 LLC Physical Therapist Current Accepting new patients

Locations

2625 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 896-0383

8988 W Cheyenne Ave
#120
Las Vegas, NV 89129
Phone (702) 896-0383

Organizations & group practices 3

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": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1699310938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W HORIZON RIDGE PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522896",
            "telephone_number": "702-896-0383",
            "fax_number": "702-889-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8988 W CHEYENNE AVE STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298928",
            "telephone_number": "702-896-0383",
            "fax_number": "702-889-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHARLANG",
        "first_name": "NICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4149",
            "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 Nov 11, 2019; 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.