Individual provider Active NPI

Marisa Hurt, P.T., D.P.T

  • Pediatric Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1740618446
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
2900 Issued in NV
Practice address
7361 Prairie Falcon Rd Ste 130
Las Vegas, NV 89128-0824
Phone
(702) 804-1511
Fax
(702) 804-2551
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 2900 NV Primary

Addresses

Primary practice location

7361 Prairie Falcon Rd Ste 130
Las Vegas, NV 89128-0824

Mailing address

7361 Prairie Falcon Rd Ste 130
Las Vegas, NV 89128-0824
Phone (702) 804-1511

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

LicenseStateTypeSpecialty
2900NVMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1740618446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7361 PRAIRIE FALCON RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280824",
            "telephone_number": "702-804-1511",
            "fax_number": "702-804-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7361 PRAIRIE FALCON RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280824",
            "telephone_number": "702-804-1511",
            "fax_number": "702-804-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "MARISA",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NV",
            "license": "2900",
            "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 Oct 16, 2013; 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.