Active NPI
Ryan Masuda, PT, DPT
- Physical Therapist
- North Las Vegas, NV
National Provider Identifier
1740764778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3844
- Practice address
- 3870 W Ann Rd Ste 110
North Las Vegas, NV 89031-4412 - Phone
- (702) 396-7100
- NPI assigned
- Sep 14, 2018
- Sex
- Male
- 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 | 3844 | NV | Primary |
Addresses
Primary practice location
3870 W Ann Rd Ste 110
North Las Vegas, NV 89031-4412
Mailing address
2606 S Durango Dr Apt 175
Las Vegas, NV 89117-2653
Phone (714) 308-3763
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1740764778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 S DURANGO DR APT 175",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172653",
"telephone_number": "714-308-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3870 W ANN RD STE 110",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890314412",
"telephone_number": "702-396-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASUDA",
"first_name": "RYAN",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.