Active NPI
Chynoweth Hill and Leavitt LLC
Doing business as Kelly Hawkins Physical Therapy Works
- Physical Therapist
- Pahrump, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas W Chynoweth Sr., PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100505661 | Medicaid | NV |
Other names 1
- Kelly Hawkins Physical Therapy Works
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Kelly Hawkins Physical Therapy Works
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1164415279
O20040813000749
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1780303727
O20040813000749
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Las Vegas, NV
- NPI 1356333009
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.