Individual provider Active NPI

Grace Michelle Dykheng

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1740757525
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6407 Issued in NV
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20241017000353 NV Practitioner - Physical Therapist in Private Practice 1254863186 Reassigns benefits to 2 organizations

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
Orthopaedic and Neurological Rehab IncGroup PAC ID 6507159126, 368 clinicians

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

LicenseStateTypeSpecialty
7854PCS3NVMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Jan 14, 2025 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Jan 14, 2025 Accepting new patients
Las Vegas Pain Institute and Medical Center, LLC Physical Therapist CurrentSince Aug 2, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.