Individual provider Active NPI

William Allen, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1699913384
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1361 Issued in NV
Practice address
3425 Cliff Shadows Pkwy Ste 130
Las Vegas, NV 89129-5113
Phone
(702) 448-6042
Fax
(702) 430-8970
NPI assigned
Feb 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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 1361 NV Primary

Addresses

Primary practice location

3425 Cliff Shadows Pkwy Ste 130
Las Vegas, NV 89129-5113

Mailing address

3425 Cliff Shadows Pkwy Ste 130
Las Vegas, NV 89129-5113
Phone (702) 448-6042

Other practice location 1

4215 S. Grand Canyon Dr.
Suite 101
Las Vegas, NV 89147-7173
Phone (702) 448-6042

Other identifiers 1

IdentifierTypeStateIssuer
1368OtherNVNEVADA LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170315000795 NV Practitioner - Physical Therapist in Private Practice 5597822593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3425 Cliff Shadows Pkwy
Suite 130
Las Vegas, NV 89129-5113
Phone (702) 448-6042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health and Wellness Center LLC Physical Therapist CurrentSince Mar 1, 2017 Accepting new patients
Food Connection LLC PastSince Mar 1, 2017 Accepting new patients

Locations

4215 S Grand Canyon Dr
Ste 101
Las Vegas, NV 89147
Phone (702) 448-6042

3425 Cliff Shadows Pkwy
Ste 130
Las Vegas, NV 89129
Phone (702) 448-6042

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1699913384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 CLIFF SHADOWS PKWY STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891295113",
            "telephone_number": "702-448-6042",
            "fax_number": "702-430-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 CLIFF SHADOWS PKWY STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891295113",
            "telephone_number": "702-448-6042",
            "fax_number": "702-430-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4215 S. Grand Canyon Dr.",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891477173",
            "country_code": "US",
            "telephone_number": "702-448-6042",
            "fax_number": "702-430-8970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "WILLIAM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA LICENSE",
            "identifier": "1368",
            "state": "NV"
        }
    ],
    "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 May 21, 2026; 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.