Active NPI
Leanne Carrillo, P.T.
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1740429661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2182
- Practice address
- 9975 S Eastern Ave
Suite 110
Las Vegas, NV 89183-7949 - Phone
- (702) 434-2800
- Fax
- (702) 451-1034
- NPI assigned
- Feb 17, 2009
- Last updated
- Feb 17, 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 | 2182 | NV | Primary |
Addresses
Primary practice location
9975 S Eastern Ave
Suite 110
Las Vegas, NV 89183-7949
Mailing address
3663 E Sunset Rd
Suite 503
Las Vegas, NV 89120-3218
Phone (702) 434-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2182 | Other | NV | STATE OF NEVADA BOARD OF PHYSICAL THERAPY EXAMINERS |
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 |
|---|---|---|---|
| 2182 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1740429661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 E SUNSET RD",
"address_2": "SUITE 503",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203218",
"telephone_number": "702-434-2800",
"fax_number": "702-451-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9975 S EASTERN AVE",
"address_2": "SUITE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891837949",
"telephone_number": "702-434-2800",
"fax_number": "702-451-1034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILLO",
"first_name": "LEANNE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEVADA BOARD OF PHYSICAL THERAPY EXAMINERS",
"identifier": "2182",
"state": "NV"
}
],
"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 Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.