NPIMap

Organization Active NPI

Mountain Land Rehabilitation of Nevada LC

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1750498879
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOUNTAIN LAND REHABILITATION OF NEVADA LC
Practice address
9484 W Lake Mead Blvd
Suite 8-10
Las Vegas, NV 89134
Phone
(702) 243-7744
Fax
(702) 243-9688
NPI assigned
Aug 24, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNTAIN LAND REHABILITATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mr. Mark Anderson, PT
Title
President
Phone
(801) 942-3311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

9484 W Lake Mead Blvd
Suite 8-10
Las Vegas, NV 89134

Mailing address

PO Box 711185
Salt Lake City, UT 84171-1185
Phone (801) 942-3311

National Provider Directory

National Provider Directory
Part of
Mountain Land Rehabilitation Inc

Locations

4 Sunset Way
Ste A1
Henderson, NV 89014

9484 W Lake Mead Blvd
Ste 100
Las Vegas, NV 89134

8691 W Sahara Ave
Ste 100
Las Vegas, NV 89117
Phone (702) 228-2120

5650 W Flamingo Rd
Ste A
Las Vegas, NV 89103
Phone (702) 221-0991

6480 W Flamingo Rd
Ste B
Las Vegas, NV 89103
Phone (702) 251-9009

9484 W Lake Mead Blvd
Ste 810
Las Vegas, NV 89134
Phone (702) 243-7744

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1750498879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711185",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841711185",
            "telephone_number": "801-942-3311",
            "fax_number": "801-942-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9484 W LAKE MEAD BLVD",
            "address_2": "SUITE 8-10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89134",
            "telephone_number": "702-243-7744",
            "fax_number": "702-243-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LAND REHABILITATION OF NEVADA LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAIN LAND REHABILITATION INC",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-942-3311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 4, 2008; 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.