Individual provider Active NPI

Maria Cristina Batac Delapena

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1790305753
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2296 Issued in NV
Practice address
759 Crest Valley PL
Henderson, NV 89011-2663
Phone
(702) 465-9769
Fax
(702) 454-7050
NPI assigned
Apr 20, 2020
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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 2296 NV Primary

Addresses

Primary practice location

759 Crest Valley PL
Henderson, NV 89011-2663

Mailing address

759 Crest Valley PL
Henderson, NV 89011-2663
Phone (702) 465-9769

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200519000897 NV Practitioner - Physical Therapist in Private Practice 7315378759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

7540 Smoke Ranch Rd
Las Vegas, NV 89128-0392
Phone (702) 337-2480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients

Locations

6660 Grand Montecito Pkwy
Las Vegas, NV 89149
Phone (775) 347-7901

7540 Smoke Ranch Rd
Las Vegas, NV 89128
Phone (702) 337-2480

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1790305753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 CREST VALLEY PL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890112663",
            "telephone_number": "702-465-9769",
            "fax_number": "702-454-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CREST VALLEY PL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890112663",
            "telephone_number": "702-465-9769",
            "fax_number": "702-454-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAPENA",
        "first_name": "MARIA CRISTINA",
        "middle_name": "BATAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 20, 2020; 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.