Active NPI
Grace Michelle Dykheng
- Physical Therapist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6407
- Practice address
- 2700 E. Sunset Rd., #17 BLDG B
Las Vegas, NV 89120-3508 - Phone
- (702) 479-8809
- NPI assigned
- Oct 30, 2018
- Reactivated
- Aug 22, 2024
- Last updated
- Nov 21, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 7854PCS3 | NV | |
| Physical Therapist | 225100000X | 6407 | NV | Primary |
Addresses
Primary practice location
2700 E. Sunset Rd., #17 BLDG B
Las Vegas, NV 89120-3508
Mailing address
2700 E Sunset Rd Ste 17
Las Vegas, NV 89120-3508
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5255 Kietzke LN
Reno, NV 89511-2037
Phone (512) 327-4444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7854PCS3 | NV | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehab Inc | Physical Therapist | Current | Accepting new patients |
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current | Accepting new patients | |
| Las Vegas Pain Institute and Medical Center, LLC | Physical Therapist | Current | Accepting new patients |
| Comprehensive Urgent Care | Past | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765
365 W A St
Fallon, NV 89406
Phone (775) 428-2428
2705 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
1900 N Nellis Blvd
Las Vegas, NV 89115
Phone (702) 531-6440
3835 S Jones Blvd
Ste 104
Las Vegas, NV 89103
Phone 7028804193750
4616 W Sahara Ave
#337
Las Vegas, NV 89102
5255 Kietzke Ln
Reno, NV 89511
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBFEDD
Organizations & group practices 4
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.
-
- Rehabilitation Clinic/Center
- Billings, MT
- NPI 1225496540
NV, Physical Therapist
-
dba Las Vegas Pain Institute and Medical Center
- Pain Medicine (Anesthesiology) Physician
- Las Vegas, NV
- NPI 1659431443
Physical Therapist
-
- Rehabilitation Clinic/Center
- Tustin, CA
- NPI 1548940885
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1578478673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1740757525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 E SUNSET RD STE 17",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E. SUNSET RD., #17 BLDG B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203508",
"telephone_number": "702-479-8809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYKHENG",
"first_name": "GRACE MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-30",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"deactivation_date": "2024-07-26",
"reactivation_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NV",
"license": "7854PCS3",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "6407",
"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 Nov 21, 2024; 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.