Active NPI
Mutya C. O'Boyle, P.T.
- Physical Therapist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 2345
- Practice address
- 4800 E Bonanza Rd
Suite 2
Las Vegas, NV 89110-3470 - Phone
- (702) 438-3188
- Fax
- (702) 438-4550
- NPI assigned
- Jul 31, 2009
- 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 | PT 2345 | NV | Primary |
Addresses
Primary practice location
4800 E Bonanza Rd
Suite 2
Las Vegas, NV 89110-3470
Mailing address
3831 W Charleston Blvd
Las Vegas, NV 89102-1859
Phone (702) 876-1733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 N Nellis Blvd
Suite 135
Las Vegas, NV 89110-5497
Phone (702) 138-3188
3831 W Charleston Blvd
Las Vegas, NV 89102-1859
Phone (702) 876-1733
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 2345 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chynoweth Hill and Leavitt LLC | Current | Accepting new patients | |
| Chynoweth Hill and Leavitt LLC | Physical Therapist | Current | Accepting new patients |
| Chynoweth Hill and Leavitt LLC | Physical Therapist | Past | Accepting new patients |
Locations
3831 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 876-1733
305 N Nellis Blvd
Ste 135
Las Vegas, NV 89110
Phone (702) 438-3188
4800 E Bonanza Rd
Ste 2
Las Vegas, NV 89110
Phone (702) 438-3188
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1164415279
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1780303727
-
- Physical Therapist
- Pahrump, NV
- NPI 1700878444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1740411263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3831 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021859",
"telephone_number": "702-876-1733",
"fax_number": "702-878-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 E BONANZA RD",
"address_2": "SUITE 2",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891103470",
"telephone_number": "702-438-3188",
"fax_number": "702-438-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BOYLE",
"first_name": "MUTYA",
"middle_name": "C.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-31",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "PT 2345",
"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 Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.