Organization Active NPI

Chynoweth Hill and Leavitt LLC

Doing business as Kelly Hawkins Physical Therapy Works

  • Physical Therapist
  • Pahrump, NV
National Provider Identifier
1700878444
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHYNOWETH HILL AND LEAVITT LLC
Doing business as
Kelly Hawkins Physical Therapy Works
Practice address
921 S Highway 160
Ste 409
Pahrump, NV 89048-4698
Phone
(775) 727-3838
Fax
(775) 727-3781
NPI assigned
Aug 18, 2005
Last updated
Mar 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Mr. Thomas W Chynoweth Sr., PTNPI 1356333009
Title
Owner
Phone
(702) 876-1733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

921 S Highway 160
Ste 409
Pahrump, NV 89048-4698

Mailing address

3831 W Charleston Blvd
Las Vegas, NV 89102-1859
Phone (702) 876-1733

Other identifiers 1

IdentifierTypeStateIssuer
100505661MedicaidNV

Other names 1

  • Kelly Hawkins Physical Therapy Works Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000749 NV Part B Supplier - Clinic/Group Practice 7012980550 Receives reassigned benefits from 59 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reno, NV; North Las Vegas, NV; Las Vegas, NV; Henderson, NV

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1700878444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021859",
            "telephone_number": "702-876-1733",
            "fax_number": "702-878-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S HIGHWAY 160",
            "address_2": "STE 409",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890484698",
            "telephone_number": "775-727-3838",
            "fax_number": "775-727-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHYNOWETH HILL AND LEAVITT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "CHYNOWETH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-876-1733",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505661",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Hawkins Physical Therapy Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.