Patrick Charles Duffy, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A0799 Issued in NV

Practice address

100 Veterans Memorial Dr
Boulder City, NV 89005-1926

Phone

(702) 332-6784

NPI assigned

Mar 27, 2020

Last updated

Apr 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1770111742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7464 BENLOMOND AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891791609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VETERANS MEMORIAL DR",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890051926",
            "telephone_number": "702-332-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "PATRICK",
        "middle_name": "CHARLES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A0799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cami Lynn Doty
• Douglas D Lee OD LTD (Clearvision Eye Center)
• Barbara Douse
• Alana Dowling
• Dr. Jeffrey C. Wood, Psy.D., PLLC
• Hailee Dumond, COTA
• Meggan Duncan, MS-CCC-SLP
• Jason Ealy
• Brian Victor Earley, DO
• Ashley Ecker, LCSW

• Physical Therapy Assistant in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Physical Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.