Trevor Maclane Mauzy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3627 Issued in NV

Practice address

129 W Lake Mead Pkwy Ste 2
Henderson, NV 89015-7055

Phone

(702) 564-6712

Fax

(702) 564-4838

NPI assigned

Nov 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Therapy West LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1972168540
  NPD (past)

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730692070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY STE 2",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-564-6712",
            "fax_number": "702-564-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY STE 2",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-564-6712",
            "fax_number": "702-564-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1358 Paseo Verde Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890125725",
            "country_code": "US",
            "telephone_number": "702-564-6712",
            "fax_number": "702-564-4838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUZY",
        "first_name": "TREVOR",
        "middle_name": "MACLANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrell Matthews
• Gene Mattsfield, RPH
• Leslie Matys
• Eileen Cordero Mauban, M.D.
• Jakob Mauer, LICSW, LCSW
• Mavis N Matsumoto, MD, LLC
• Mavis N Matsumoto, MD, LLC
• Collin Mawhinney
• Lauren Elaine Maxham, M.D.
• Maximum Care Strategies LLC

• 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 Mar 17, 2018; 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.