Active NPI
Aaron John Miguel Jurado, PT, DPT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1710606256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4947
- Practice address
- 821 N Nellis Blvd Ste 130
Las Vegas, NV 89110-5387 - Phone
- (702) 452-4563
- NPI assigned
- Aug 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4947 | NV | Primary |
Addresses
Primary practice location
821 N Nellis Blvd Ste 130
Las Vegas, NV 89110-5387
Mailing address
5483 Montgomery View LN
Las Vegas, NV 89122-8659
Phone (213) 327-4738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250113000869 | CA | Practitioner - Physical Therapist in Private Practice | 2567839434 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4947 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1710606256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5483 MONTGOMERY VIEW LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891228659",
"telephone_number": "213-327-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 N NELLIS BLVD STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891105387",
"telephone_number": "702-452-4563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURADO",
"first_name": "AARON JOHN",
"middle_name": "MIGUEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4947",
"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 Aug 26, 2022; 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.