Individual provider Active NPI

Melanie Laneo, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1760853287
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3191 Issued in NV
Practice address
1505 Wigwam Pkwy
Suite 240
Henderson, NV 89074-8194
Phone
(702) 568-0195
Fax
(702) 568-0365
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3191 NV Primary

Addresses

Primary practice location

1505 Wigwam Pkwy
Suite 240
Henderson, NV 89074-8194

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Other names 1

  • Melanie Gough Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151019001835 NV Practitioner - Physical Therapist in Private Practice 0749599587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Century Rehabilitation LLCGroup PAC ID 3274422647, 85 clinicians

Practice addresses (Care Compare)

1505 Wigwam Pkwy
Suite 240
Henderson, NV 89074-8195
Phone (702) 568-0195

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
85
Improvement activities
40
Cost
85.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Oct 8, 2015 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Oct 8, 2015 Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1505 Wigwam Pkwy
Ste 240
Henderson, NV 89074
Phone (702) 568-0195

3175 Saint Rose Pkwy
Ste 331
Henderson, NV 89052
Phone (702) 314-4604

3233 W Charleston Blvd
Ste 107
Las Vegas, NV 89102
Phone (702) 258-9381

1252 S Nellis Blvd
Las Vegas, NV 89104
Phone (702) 459-4900

7301 Peak Dr
Ste 101
Las Vegas, NV 89128
Phone (702) 940-3000

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

1525 E Windmill Ln
Ste 202
Las Vegas, NV 89123
Phone (702) 202-1280

8945 W Post Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 251-7147

6830 W Oquendo Rd
Ste 101
Las Vegas, NV 89118
Phone (702) 258-3066

10000 W Sahara Ave
Ste 105
Las Vegas, NV 89117
Phone (702) 826-5750

3155 W Craig Rd
Ste 120140
North Las Vegas, NV 89032
Phone (702) 639-2333

Organizations & group practices 6

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1760853287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WIGWAM PKWY",
            "address_2": "SUITE 240",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748194",
            "telephone_number": "702-568-0195",
            "fax_number": "702-568-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANEO",
        "first_name": "MELANIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "GOUGH",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.