Matthew Thomas Killian

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2398 Issued in NV

Practice address

400 N Stephanie St Ste 310
Henderson, NV 89014-6608

Phone

(702) 454-1162

Fax

(702) 454-8817

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Nevada Luna Care Physical Therapy LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1457087009
  Medicare reassignment NPD
• New Century Rehabilitation LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1396777892
  Medicare reassignment

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1730226747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N STEPHANIE ST STE 310",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146608",
            "telephone_number": "702-454-1162",
            "fax_number": "702-454-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N STEPHANIE ST STE 310",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146608",
            "telephone_number": "702-454-1162",
            "fax_number": "702-454-8817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 S Eastern Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891190826",
            "country_code": "US",
            "telephone_number": "702-734-2732",
            "fax_number": "702-737-1453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2870 S Maryland Pkwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891091548",
            "country_code": "US",
            "telephone_number": "702-380-1060",
            "fax_number": "702-380-1081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16888",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 16888",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1702161",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DU0139",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kideology LTD
• Kidney and Hypertension Associates of Nevada PLLC
• Thomas Philip Kierl III, DDS
• Patricia Kihara
• Susan Kilburn, RN-C, APN
• Byron Kilpatrick, MD
• Kim Henderson Kids Dentistry PC
• Christina Kim
• Daniel Kim, RPH
• Dong Hyun John Kim, D.O.

• Physical Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.