NPIMap

Organization Active NPI

Jack D. Close and Associates

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1700992971
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
57 Issued in NV
Legal business name
JACK D. CLOSE AND ASSOCIATES
Practice address
7373 Peak Dr
#230
Las Vegas, NV 89128-9003
Phone
(702) 215-4353
Fax
(702) 215-4356
NPI assigned
Aug 21, 2006
Last updated
May 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Mr. Jack Dean Close Sr., M.A.P.T,FAPTANPI 1235335167
Title
Physical Therapist
Phone
(702) 731-6873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 57 NV Primary

Addresses

Primary practice location

7373 Peak Dr
#230
Las Vegas, NV 89128-9003

Mailing address

3650 S Eastern Ave
#100
Las Vegas, NV 89109-3379
Phone (702) 731-6873

National Provider Directory

National Provider Directory

Locations

3777 Pecos McLeod
Ste 102
Las Vegas, NV 89121
Phone (702) 433-5686

Practitioners & affiliated clinicians

Practitioners 6

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1700992971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 S EASTERN AVE",
            "address_2": "#100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891093379",
            "telephone_number": "702-731-6873",
            "fax_number": "702-731-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 PEAK DR",
            "address_2": "#230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289003",
            "telephone_number": "702-215-4353",
            "fax_number": "702-215-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK D. CLOSE AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "CLOSE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "702-731-6873",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.A.P.T,FAPTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "57",
            "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 May 23, 2012; 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.