Individual provider Active NPI

Heidi Pua McLaughlin, DPT

  • Pediatric Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1750839627
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
3407 Issued in NV
Practice address
2012 S Jones Blvd
Las Vegas, NV 89146-3151
Phone
(702) 360-1137
Fax
(702) 341-1511
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 3407 NV Primary

Addresses

Primary practice location

2012 S Jones Blvd
Las Vegas, NV 89146-3151

Mailing address

3395 S Jones Blvd # 363
Las Vegas, NV 89146-6729
Phone (702) 360-1137

Other names 1

  • Heidi Pua Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251119002377 NV Practitioner - Physical Therapist in Private Practice 3476044249 Reassigns benefits to 1 organization
I20260427000509 AZ Practitioner - Physical Therapist in Private Practice 3476044249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1231 Brian Rd
Pahrump, NV 89048-7392

8417 Eagle Eye Ave
Las Vegas, NV 89128-8254

9898 Scottish Glen CT
Las Vegas, NV 89178-3854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3407NVMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mustard Seeds Therapies LLC CurrentSince Jun 27, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1750839627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 S JONES BLVD # 363",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466729",
            "telephone_number": "702-360-1137",
            "fax_number": "702-341-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463151",
            "telephone_number": "702-360-1137",
            "fax_number": "702-341-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "HEIDI",
        "middle_name": "PUA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NV",
            "license": "3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "HALL",
            "middle_name": "PUA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 20, 2016; 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.