Active NPI
Tiffany Yu, DPT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1730854225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4610
- Practice address
- 6345 S Jones Blvd Ste 300
Las Vegas, NV 89118-3334 - Phone
- (702) 515-4009
- NPI assigned
- Aug 16, 2021
- Sex
- Female
- 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 | 4610 | NV | Primary |
Addresses
Primary practice location
6345 S Jones Blvd Ste 300
Las Vegas, NV 89118-3334
Mailing address
1346 Bear Brook Ave
Henderson, NV 89074-8808
Phone (415) 860-1954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4610 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speakeasy Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
| Speakeasy Therapy Services, LLC | Current | Accepting new patients | |
| The Speech House LLC | Physical Therapist | Past | Accepting new patients |
Locations
6345 S Jones Blvd
Ste 300
Las Vegas, NV 89118
Phone (702) 515-7009
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Las Vegas, NV
- NPI 1114315801
-
- Speech-Language Pathologist
- Las Vegas, NV
- NPI 1871324806
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1730854225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1346 BEAR BROOK AVE",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890748808",
"telephone_number": "415-860-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6345 S JONES BLVD STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891183334",
"telephone_number": "702-515-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "TIFFANY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4610",
"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 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.