Jill Mirkis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0312 Issued in NV

Practice address

7375 Prairie Falcon Rd Ste 120
Las Vegas, NV 89128-0810

Phone

(702) 869-4401

NPI assigned

May 4, 2015

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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.

• Spring Mountain Rehab, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Las Vegas, NV
  • NPI 1447257456
  NPD (past)

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1740667377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 CHIC AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891295992",
            "telephone_number": "702-807-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 PRAIRIE FALCON RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280810",
            "telephone_number": "702-869-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRKIS",
        "first_name": "JILL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "PTA0312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odalys Mirizada
• Sarah Mirkhaef
• Kiarash L Mirkia, MD
• Mirkil Medical Group
• Jessica Faith Mirkil
• Melissa Miro
• Trashelle Chauntey Miro, PHARMD
• Karen Miron
• Maria Estefani Miron
• Andrey Miroshnichenko

• Physical Therapy Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.