Physical Therapy Vegas LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY VEGAS LLC

Practice address

1815 E Lake Mead Blvd Ste 314
North Las Vegas, NV 89030-7193

Phone

(702) 209-2879

Fax

(702) 202-6273

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Noman Siddique

Title

Member

Phone

(702) 209-2879

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1770201774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD STE 314",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307193",
            "telephone_number": "702-209-2879",
            "fax_number": "702-202-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD STE 314",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307193",
            "telephone_number": "702-209-2879",
            "fax_number": "702-202-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "NOMAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-209-2879"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Tosha Phillips, M.A.
• Latoyia Phillips
• Mary Elizabeth Phillips
• Simone Cherell Phillips, MSW, LCSW
• Toyloy Phillips
• Anna Pichel
• Noelle Pickett
• Charina Mae C Picornell, APRN
• Stephen Piehl
• Blake Piercy, MSOT

• Physical Therapist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.